HomeMy WebLinkAboutBLD2025-00191 BLD2025-00192 SFR, Garage - BLD Application - 2/18/2025 MASON COUNTY COMMUNITY SERVICES Permit No: —DU
PERMIT ASSISTANCE CENTER: A
BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED
615 W.Alder Street,Shelton,WA98584
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone FEB
Belfalr.(360)275-4467•Phone Erna:(360)482-526.9 18 2025
BUILDING PERMIT APPLICATION kW
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 6
NAME: M 1 KE H I y .L-H NAME:
MAILING ADDRESS:_ kp F . K Vj j AK CT MAILING ADDRESS:
CITY: SHE LTD lV STATE:Wk ZIP:ViSS84 CITY: STATE: ZIP:
PHONE#1: 1!521. io1. .1`I5to PHONE: CELL:
PHONE#2: EMAIL:
EMAIL:M 1 A E _K I V rE 1 S na M I LZ S L&I REG# EXP.KCbOVK
/
PRIMARY CONTACT: �R❑ CONTRACTOR❑ OTHER❑
NAME EMAIL
MAILINGADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 22020 - 01300 ZONING R 2•Cj
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
srrEADDREsS /0 6 kA A%iA A CT. CITY ,SHBLTUAI
DIRECTIONS TO SITE ADDRESS pDETI C MAPS .
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO❑ SNOW LOAD:_[]sf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall tharapp7y):
SALTWATER❑ LAKE❑ RrvER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Besidence,Garagq ConunercidBldg.Etc)
IS USE: PRIMARY SEASONAL❑ ,��NUMBER OF BEDROOMS 2. NUMBER OF BATHROOMS Z
HEATED STRUCTURE? YES(Whole Bldg)jij YES(Partfr]ofBkW❑ NO❑
DESCRIBE WORK N C Vtz O-
SOUARE FOOTAGE:(props 4
1 ST FLOOR.122-4 sq.fL 2ND FLOOR sq.& 3RD FLOOR sq.fL BASEMENT sq.fL
DECK sq.fL COVERED DECK-SQ sq.fL STORAGE sq.R OTHER sq.ft.
GARAGE sq.fL Attached❑ Detached❑ CARPORT sq.fL Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUMED*
MAgE MODEL YEAR �G��TH _
BEDROOMS BATHS SE NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EMTTNG�F--
PLUMBING IN STRUCTURE? YES NO❑ Ifyes,attach completed Water Adequacy Farm
PERIMETERNOUNDATTON DRAINS PROPOSED7 YES❑ NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS_� PROPOSED BEDROOMS__2,_ 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 an the necessary parties,including any easerient 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 structures)for review and inspection.This permit/application becomes null&void If work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
X
PE PLICATION F 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.OS.42)
i
Signature of OWN ( ust be signed by the OWNERI Date
�EPARTMENTALREVIEW APPROVED`: =DATE`=:.='_DENIED_. :DATE.:::TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Pen-nit No:
PERMIT ASSISTANCE CENTER:
.BUILDING .PLANNING •FIRE MARSHAL
615 W.Alder St-Shelton, WA 98584
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 �,
Phone Belfair.•(360)275-4467• Phone Elma:(360)482-5269 '46
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: I K kF7 )ZIP! NAME: e-�)u3/46-
MAILING ADDRESS:/p L MAILING ADDRESS:
CITY:S} - ,,j STATE:IA,/A- ZIP:y� CITY: STATE: ZIP:
I"PHONE: ZLs� 3C--r7 t.11 M PHONE: CELL:
2nd PHONE: EMAIL :
EMAIL: — L&1 REG# EXP.
GU re e-
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): Z0 20 Z3L9360% Zoning: 2-
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: /0 C- i<'A t_ CT- CITY I4eLj-t "
DIRECTIONS TO SITE ADD : Sg-3 710 6z- ,4,6ptV". FoLl caw & A,9At~'-n!S;' -0-CF110X�
b IM 1 l s >'� L-lANnaf� -SL-€y 124514C-H lZ� ��>r'1 �L�-�w tc. 4ZA114 le- dT-
GA - bE 10 O
TYPE OF B: //��
NEW �ADD=AL REPAI g OTHER=USE OF BUILDING c ri IX'J Ce"
LOCATION OF FIXTURES/UNITS— 1 ST FLOO 2No FLOOR=BASEMENT=GARAGE=OTHOR
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS ,C; r'0"K---Tr o Ly
Type of Fixture No.of Fixtures Fees Fuel Type:Electric=PG[]2:]Natural Gas=Ductlessu
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump i
Showers Spot Vent Fan 7
Water Heater Propane Tank —
Clothes Washer ( Gas Outlets )i
Kitchen Sinks ft Wood/Gas/Pellet Stove
Dishwasher i Kitchen Exhaust 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 OFTHISKERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
� WILL INVALID E THE AP LI ATION.
X
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
MASON COUNTY COMMUNITY SERVICES Permit No: $LD'2AZS- 0D M Z
PERMIT ASSISTANCE CENTER:
•BUILDING-PLANNING•PUBLIC HEALTH•F7RE MARSHAL �� RECEIVED
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext 352•Fax(360)427-7798 Phone 6v,1 ;
Betlair.(360)275 1467•Phone Elmer(360)482-5269
BUILDING PERMIT APPLICATION FEB 18 2025
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIOMI 5 W.
NAME: MIKE, H I V F-LEI NAME:
MAU..ING ADDRESS: IO 6. IAt qy AK C- MAMING ADDRESS:
CITY:SHE LTP hk STATE:Wttk Z1P:al$Sgq CITY: STATE: ZIP:
PHONE#t: 24a, 301. A-j5W PHONE: CELL:
PHONE#2: EMAIL:
EMAIL:M 1 K E .A I V EL 04( ki I rZ S- L&I REG# EXP.
PRIMARY CONTACT ❑ CONTRACTOR❑ OTHER❑
NAME EMAIL
MAILINGADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCELNLlMER(12 Digit Number)- 11010 7-2, g300) ZONING R 2.e
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
STTEADDRESS /D Fi. IA A4A A CT. CTTY .StI ELTDNI
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WTTHLTT 300 FT OF SLOPES)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:_ sf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (a=ka =pply):
SALTWATER❑ LMM❑ RIVERICREEK❑ POND❑ WMLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW ADDTITON❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Res dam C�,.4 commadaI xd&Ere)
IS USE: PR]MARY2'SEASONAL❑ NUMBER OF BEDROOMS _NUMBER OF BATHROOMS ._
DATED STRUCTURE? YES(wLo7eB7a YES(PmY[s]ofmw❑ ff
EDESCRIBEWORK UNh �
1-tEt� &A 0- —Z
SOT-TARE FOOTAGE:
1ST FLOOR sq.fL 2ND FLOOR sq.fL 3RD FLOOR sq.ft. BASEMENT sq.fL
DECK sq.11� COVERED DECK s .fL STORAGE sq.ft. OTHER sq.ft.
GARAGES229 sq.ft Am=hed❑ Detached CARPORT sq.I Attached❑ Detached❑
MANQFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRID*
MAKE MODEL YEAR LNiTTGTH
BEDROOMS BATHS NUMBER
ENVMONWENTAL HEALTH: "
SEWAGE/SEWER SOURCE: SEP'. .,cv7ER❑ I NEW❑ EXISTINC—
PLUMBING IN STRUCTURE? YES / NO❑ If yes,attach completed Wale Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Adamwledgement 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 an the necessary parties,inducting any easement holder or parties of huest regarding this pruiect.The owner or legal
represen-.We,repazsens that the information provided 6 aomrate and grants employees of Mason County a=ess to the above desa-ibed pmp rty
and structure(s)for review and inspection.This permit/application becomes null&void ifwork or authoraed 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
ZLICATIO F 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X
Signahire of OWN ust be signed by the OWNER Date
DEPARTb 11 AI_REVIEW= - ,PPROVED'-=DATE= =D DATE- =TAGS)NOTES/CONDITIONS:
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER:
In •BUILDING .PLANNING •FIRE MARSHAL
615 W.Alder St-Shelton, WA 98584
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 6AxX4.49
1W Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: ^(1 J — \ NAME: 5'A,,a_i�S
MAILING ADDRESS: 16 E 9 A 'A*- C-1 MAILING ADDRESS:
CITY:Sj tr,--ON- STATE:A.J A- ZIP:&S3g CITY: STATE: ZIP:
I"PHONE: ';k--53 3G T 4 2 S 6 PHONE: CELL:
2nd PHONE: EMAIL :
EMAIL:In/R t IV L&I REG# EXP.
u;' eS Ca
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): XalU 9-0 -2:93 c) ,�j / Zoning: �.5
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: /D E ,tGt t^).L-C-7 CITY:-5yi`L_TZ�,Af
DIRECTIONS TO SITE ADDRESS: ::5 12 3 TIC) I=, A&ATIE,--L�,,,� �� AU
M(. _o_x> 4A.1r1 76 KAYAAL e r diim= 6be- O
TYPE OF JOB:
NEW ADD=AL"I=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1 ST FLOOR=2NO FLOOR=BASEMENT=GARAGE®OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric=PG=Natural Gas=Ductless=
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust 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 THE APPLICATION
x
K-•__ ah /2s"
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
t
MASON COUNTY
COMMUNITY SERVICES
H.T
Building,Planning,Environmental Health.community Heahh
These requirements apply to all IRC building types,including detached one-and two-family dwellings
and multiple single-family dwellings(townhouses).
Contact Information Project Information
�7�wners Name: Site Address:
Mailing Address: Parcel Number:
o G . A ►,IL c T_ 98se U v �•3 vo 1
quare Feet(total): Project Description:
• �' -S+nr�Cc�
entiI tions Compliance:
0 Whole House Ventilation system [Whole House Ventilation
using exhaust fans Integrated with a Forced Air
System
Other, describe:
Instructions:This single-family project will use the requirements of the Prescriptive Path below and
incorporate the minimum values listed.Based on the size of the structure,the appropriate number of
additional credits are checked as chosen by the permit applicant.
Provide all information from the following tables as building permit drawings:Table R402.1-Insulation and
Fenestration Requirements by Component,Table R406.2-Fuel Normalization Credits and 406.3-Energy Credits.
Marine 4(Table R402.1.3)
Fenestration U-Factor bd 0.30
Skylight U-Factor b 0.50
Ceiling R-Value° 60
Wood Frame Wall R-Value gI 20+5 or 13+10
Floor R-Value 30
,Below Grade Wall ch 10115/21 int+TB
Slab 0 R-Value&Depth 10,4ft
R-values are minimums.u-factors and SHGC are maximums.When insulation is installed in a caves which is less than the label or design
' thickness of the insulation,the compressed R-value of the insulation from Appendix A Table A101.4 of chapter 51-11C WAC shall not be.less
than the R-value specified in the table.
b The fenestration u-factor column excludes skylights.
"10/15/21+STB"means R-10 continuous insulation on the exterior of the wall,or R-35 continuous insulation on the interior of the wall,or R-
C 21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall."10/15/21+STB"shall
be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or
exterior of the wall."STB"means R-5 thermal break between floor slab and basement wall.
d R-10 continuous insulation is required under heated slab on grade floors.See Section R402.2.9.1.
For single rafter or joist vaulted ceilings,the insulation may be reduced to R-38 if the full insulation depth extends over the top plate
of the exterior wall.
R-7.5 continuous insulation installed over an existing slab is deemed to be equivalent to the required perimeter slab insulation when applied
t :to existing slabs complying with Section RS03.1.1.if foam plastic is used,it shall meet the requirements for thermal barriers protecting foam
plastics
For log structures developed in compliance with Standard ICC 400,log walls shall meet the requirements for
climate zone 5 of ICC 400.
Prescriptive Path—Single Family 2021 Washington State Energy Code-R
Int(intermediate framing)denotes framing and insulation as described in Section A103.2.2 including standard framing 16 inches on
n center,78%of the wall cavity insulated and headers insulated with a minimum of R-10 insulation.
r The first value is cavity insulation,the second value is continuous insulation.Therefore,as an example,"R13+10"means R-13 cavity
insulation plus R-10 continuous insulation:
i A maximum U-factor of 0.32 shall apply to vertical fenestration products installed in buildings located above 4000 feet in elevation above
sea level,or in windborne debris regions where protection of openings is required under Section R301.2.1.2 of the International
Residential Code.
Each dwelling unit in a residential building shall comply with sufficient options from Table R406.2(Energy
Equalization credits)and Table 406.3 (energy credits)to achieve the following minimum number of
credits.To claim this credit,the building permit drawings shall specify the option selected and the
maximum tested building air leakage and show the qualifying ventilation system and its control sequence
of operation.
1. Small Dwelling Unit:5 credits
Dwelling units less than 1,500 sf in conditioned floor area with less than 300 sf of fenestration area.
Additions to existing building that are greater than 500 sf of heated floor area but less than 1,500 sf.
2. Medium Dwelling Unit:8 credits
All dwelling units that are not included in#1 or#3
3. Large Dwelling Unit:9 credits
Dwelling units exceeding 5,000 sf of conditioned floor area
4. Additions less than 500 square feet:2 credits
All other additions shall meet 1-3 above.
Summary of Table R406.2
System I Credits Select-ONES stem Type I
Energy Equalization Credits y yp i
Type i Single Family
1 For combustion heating equipment meeting 0.0
i minimum federal efficiency standards for the i
equipment listed in Table C403.3.2(5)or C403.3.2(6)
2 j For an initial heating system using a heat pump
;that meets federal standards,for the equipment
13
listed in Table C403.3.2(2)and supplemental j 1.5
heating provided by electric resistance or a l
!combustion furnace meeting minimum
i standards listed in Table C403.3.2(5) I
�3 For heating system based on electric resistance only I --i
j (either forced air or Zonal) l__ 0.5 []
4 c 1 For heating system using a heat pump that meets
federal standards for the equipment listed in Table ! j
C403.3.2(2)or C403.3.2(9)or Air to water heat pump; 3.0
units that are configured to provide both heating and!
I cooling and are rated in accordance with AHRI
i
1550/590
5 1 For heating system based on electric resistance with ? i
1.Inverter-driven ductless mini-split heat pump 2.0 El
system installed in the largest zone in the dwelling,or; ;
.2-With 2kW or less total installed heating capacity
per dwelling
b.The gas back-up furnace will operate as fan-only when the heat pump is operating The heat pump shall operate at all temperatures above 397
(33'C)(or lower).Below that"changeover"temperature,the heat pump would not operate to provide space heating.The gas furnace provides heating
below 3S'F
(33 C)(or lower). 1
c.Additional points for the HVAC system are included in Table R406.3.
Prescriptive Path—Single Family 2021 Washington State Energy Code-R
r
Energy Energy Credit Option Descriptions i Please indicate . Details 1
Options
j ) chosen credit
(1_ 1 Efficient Building Envelope 0.5
i 1.2 Efficient Building.Envelope I 1.0�
1.3-� Efficient Building Envelope _ I 1.5
1.4 1 Efficient Building Envelope 2.5
2.1 1 Air Leakage Control and Efficient Ventilation ; 1.0 I
2.2 IAif Leakage Control and Effiation 1.5 �!-
cient Ventil
1 2.3 Air Leakage Control and Efficient Ventilation 1 2.0 +
3.1° j High Efficiency HVAC 1.0
L 3.23 j High Efficiency HVAC ( 0.5
y 3.3°•`d High Efficiency HVAC _ 0.5� _
I 3.4a,d (High Efficiency HVAC �1.5
r 3.5 d ,High Efficiency HVAC 1.5 I
L 3.6a High Efficiency HVAC _ ( 1.0
3 7 a,d,e 2.0 1
,High Efficieng HVAC _
a 8 j High Efficiency HVAC I 1.fl
I 3.9 High Efficien HVAC --- 1 1.5 +
3 10' High Efficiency HVAC 2.5
3.11` High Efficiency HVAC 0.5
4.1 j High Efficiency HVAC Distribution System 0.5 I I
I 5.1d Efficient Water Heating 0.5
5.2 1 Efficient.Water Heating 0.5 I
5( 3 'Efficient Water Heating 0.5
5.4 'Efficient Water Heating
1.0
5.5. i Efficient Water Heating i 1.5 1
i 5.6 i Efficient Water Heating 2.0 i
5.7 I Efficient Water Heating 2.5
j 5.8 I Efficient Water Heating ; 2.5
i 6.1 !Renewable Electric Energy(3 credits max) ! 1.0 I
7.1 1Appliance Package 0.5 i a
! Total i
Credits
a. An alternative heating source sized at a maximum of 0.5 Watts/ft2(equivalent)of heated floor area or 500 Watts,
whichever is bigger,may be installed in the dwelling unit.
b. See Section R401.1 and residential building in Section R202 for Group R-2 scope:
c. Option 3.11 can only be taken with Options 3.1 and 3.3.To qualify to claim Option 3.11 with 3.3,the system shall be a 1-2 speed
heat Pump system.Variable capacity heat pumps are ineligible from claiming this option.
d. This option may only be claimed if serving System Type 4 or 5 from Table R406.2.
e. Primary Irving areas include living,dining,kitchen,family rooms,and similar areas.
f. Option 310 may one be taken with Efficient Water:Heating Option 5.1 or 5.2.Equipment sizing for space
heating shall be calculated as provided in Section R403.7 with increased capacity to provide a minimum
of 75 percent of peak hot water demand or shall be sized in accordance with approved manufacturers
specifications or guidance.Supplementary heat for water heating shall be in accordance with Section
R4403.5.7
Prescriptive Path-Single Family 2021 Washington State Energy Code-R
rr�meWJkP= K)uleq Parcel#OI 020 23 93001 BLD#
f
//ouSr✓ Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 2)
Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface'.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area All dimensions in feet
Buildings X Z$ = S%
X 0 = Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X 6 = 2V. eaves/gutters)
2— X lb = /92
Drivewa s So X = 00O D
X = Length of drive begins at the right of way
X =
Parking Areas X 3z) = -5-0
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 Storinwater 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 1 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
`Illic — 'e V �-� Parcel# ZZ 2z> -15 , 3dG1 BLD#
I Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website:
http//www.co.mason.wa—us/code/commissioners/index.htm
Please follow the links to"Title 14,Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document
entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details*are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A)%�The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) 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 pro for review pection as may be required.
X Owner Agent/Contractor(circle one)Date: 1 Z457—
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Page 2 of 2
SMALL PARCEL STORWATER SITE PLAN
Mike and Tami Kivley
Parcel # 22020-23-93001
10 E. Kayak Ct Shelton Wa 98054
The site is located NE of Shelton on the Agate side of Hammersley Inlet on 2.81 acres. The lot is
partially forested with some previous logging taking place about 7 years ago. The lot slopes to
the East and to the south towards Hammersley inlet. The steep slope setbacks have been
established by a Geo Tech report provided.
The steep slope (LSHA) is approx. 52% as shown on the site plan.
The natural vegetation buffer is in place.
From the building site to the LSHA the site slopes 20% to the south and 10-30%to the East
The original building site was cleared by the previous owners down to the setbacks established.
Grass and other vegetation has since grown in those areas.
The driveway is 250 feet from E. Kayak CT and slopes 2-7%towards the proposed building site.
It is 12 feet wide by 250 ft long(3000sf) and currently compacted gravel.
There is a small shed at the top of the property 140sf.
An existing RV carport is located on the east side of the property used used to cover a
temporary residence (RV). The proposed garage and house will have a total impervious area of
2992 sf. An existing gazebo is located at the west side of the property at the 75 foot setback to
the steep slope and is 192sf. Total impervious area = 6412sf.
The property has a 3 bedroom septic installed with the tanks located 58 feet below the
proposed house and is pumped back uphill past the house to the drainfield.
A well is installed 250 ft uphill from the residence and all clearances are shown on the site plan.
The driveway run off will be collected thru rock lined ditches and berms and dispersed thru
vegetation.
All stormwater facilities will be installed downhill from the septic tank, drain field and well.
The footing drains and roof water for both garage and residence will be collected thru 4 and 6
inch pipes and tight lined directly to a type 1 cb with 2 downturn 90s installed at matching
inverts creating a flow splitter to 2 infiltration galleries 2x3x 30 feet totaling 360 CF of
storage/infiltration. The overflow will be dispersed to vegetated areas or piped directly to
Hammersley inlet and a flow dissipater installed, If allowed as per Geotech report.
There is approx. 300 feet of vegetation between the downhill side of the proposed
improvements and Hammersley inlet.
TESC/ESC PLAN
PARCEL# 22020-23-93001
Mike and Tami Kivley
10 E Kayak Ct Shelton Wa 98584
In order to prevent erosion from occurring and silt laden water from leaving the site the
following BMPs will be implemented and shown on the ESC.
a) The clearing limits will be flagged and located only where the residence and garage will
be constructed.
b) The driveway has been constructed for years and graveled. Rock lined swales will be
constructed along the driveway and sheet flow will be directed to them using grading
and berms and dispersed to native vegetation and dispersion trenches.
c) A construction entrance is not necessary on this project since it is 2000 feet of graveled
private road to the nearest paved county road
d) Silt fence will be placed on the downhill side of improvements and orange fencing will
be placed around the septic facilities (tanks)
e) Straw wattles will be installed uphill of the silt fence if the need arises
f) All stockpiles will be covered with sheeting and held in place with sandbags
g) As soon as foundation is backfilled the grading will be done and disturbed areas will be
mulched, sheeted or hydroseeded.
The owner/builder is CESCL certified and very wel► versed in the proper installation and
inspection of BMPs and commercial and residential infiltration and sediment controls
MASON COUNTY BLD DATktCEI ED
COMMUNITY DEVELOPMENT 2o25- ovt 9
Permit Assistance Center,Building,Planning RCVD BY: FEB 18 2025
13-n-n.C1.S ,
APPLICANT INFORMATION (please print clearly) 615 W.Mier Sb-eeI
Name of Applicant: M I-K t= kit)It Parcel Number 1-2-6 Zc' '2-3 `j300(
Site Address: �0 E. KRy A IC- (2�f S'}L:=- Cv 60,1 ��5 8 `-
This checklist must be completed and signed by the owner or owner's 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 RECEIVED
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 VERIFIED
Provide one(1)copy of proposed site plan.Drawn to scale of either.Ic
1"= 10' or 1"=20' depending on lot size. — ` u
North Arrow,location and dimensions of all property lines and easements.
Vicinity map showing location and names of all roads and easements.(public andprivate)
Show distances to all structures,septic tanks,drain fields,property lines,top of slopes or cuts and
easements.
Zoning(indicate):
3 Rural Residential:(�,1�2.5 O 5 O 10 O 20 Other:
Urban Growth Area: Zone:
Front yard: ;L6; Direction: IV O R-T>t% Side yard: ,-J..b Direction: GJ ❑
Rear yard: Z Direction: u; Side yard: qj:�' Direction: &lw-c r
All access points,width of access. easements and driveways).
Contour lines in twenty 20) foot increments.See Parcel Map Viewer on website
Building height shown on elevations at all four corners of structure.
Flood lain boundaries and setback distances. See Plans for additional requirements.
Wetland or surface water(if any)and any applicable buffers. If yes,a wetland report may need to be I
submitted.
Is the site near a Shoreline stream,creek,lake,saltwater if yes,please indicate? rco v t a rrD�e
Name of shoreline: 1 Al
Shoreline designation:
Stream t F,S,Ns,N ):
Is the proposed site within 300 feet of a slope 15%or greater?If yes,a geological report or assessment
may be required.
Existing/proposed on-site septic s stem and reserve areas,providing setback to structures.
Existing/proposed wells(show 100 R well radius,with distances to structures). ✓
Existing and proposed stormwater controls(downspouts,dry wells,etc.)
Exterior storage tanks (propane)and HVAC equipment.
CONSTRUCTION PLANS
LOCATED
Provide three(1)copy of plans(1 full size min. 18"x 24"and 1 small size)and one(1)copy 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 callouts must be on plans.
Engineered plans must provide calculations/analysis.Analysis must include the following information:
• Adopted International 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 i-
Cross-sections of footing and foundation(including height of wall).
Floor joist andspacing each floor).
Location of flood venting,size and method of compliance for ventin when in a flood zone
Type 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 the 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
Attic access size and location)
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 garage.
Heat Detector in garage(required in all garages attached,must be hardwired to smoke&carbon
Plumbing fixture locations
Location of doors,windows include size,egress,tempered andskylights)
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 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 andspecies 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.
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.
Exterior wall details when distance between overhangs is less than 5 feet to property line or other
structures.
Insulation value for walls. See Energy Credits for additional requirements,must be indicated on the plans.
ROOF PLAN
Layout of roofs stem
1
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(type,location and amount)
Insulation value for roof(R38 vault and R49 ceiling)See Energy Credits for addition requirements,must _
be indicated on the plans.
ENERGY CODE REQUIREMENTS RECIEVD
Completed Washington State Energy Code form
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 PAGE#
MUST include all credit information on the plan details such as insulation,ventilation,furnaces,
windows etc.Plans must also include the number of credits and which credits are chosen.
I verify all required documents,plans,and specifications associated with this application have been submitted and are
accurate.
4-"l C Yn tv-�
Signature ow er r authorized agent Print Name Date
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