HomeMy WebLinkAboutBLD2008-00577 Final SFR - BLD Permit / Conditions - 10/14/2009 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton, WA 98584
P14
RESIDENTIAL BUILDING PERMIT BLD2008-00577
OWNER: DON KING RECEIVED: 5/15/2008
CONTRACTOR: HILINE HOMES LICENSE: HILINH'981 BT EXP: 2/10/2010 ISSUED: 8/1/2008
SITE ADDRESS: 41 NE T AND J TRAIL TAHUYA EXPIRES: 2/1/2009
PARCEL NUMBER: 223184400080
LEGAL DESCRIPTION: NE SE SE SE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
New SFR FROM NORTH SHORE TO SANDHILL TO GOAT RANCH RD TO TWIN
Stock Plan 2006-0005 LAKES RD TURN RIGHT AT INTERSECTION OF TWIN LKS &TAHUYA
BLKSMITH. APROX 200' ENTRANCE TO PROP ON LEFT TO CLEARING.
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-3U Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:1,940 Garage-Attached 528
Valuation: Building Height: Occ. Status: Primary I Basement: COVPORCH 80
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: S 188.0 Ft. Shoreline: Ft. Water Body:
Rear: N 85.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: E 88.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: W 150.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KKK 5/15/2008 $271.55 S22008000
Hosebibs 3 Ventilation Fan 3 Planning Review Fee KKK 5/15/2008 $190.00 S22008000
Kitchen Sink 1 Dryer Vent 1 Fire Warden Review KKK 5/15/2008 $68.00 S22008000
Lavatories 3 Address Fee BLF 5/19/2008 $162.00 S12008000
Showers 1 Building State Fee ARC 5/19/2008 $4.50 S12008000
Water Closets (Toilets) 2 Building Permit Fee ARC 5/19/2008 $1,357.75 S12008000
Water Heaters 1 Mechanical Fee ARC 5/19/2008 $45.95 S12008000
Bath Tubs 2 Mechanical Base Fee ARC 5/19/2008 $26.60 S12008000
Clothes Washer 1 Plumbing Fee ARC 5/19/2008 $103.81 S12008000
Plumbing Base Fee ARC 5/19/2008 $23.10 S12008000
EH Plan Review TW 7/24/2008 $100.00 S12008000
Water Adequacy Plan Review TW 7/24/2008 $40.00 S12008000
Total $2,393.26
BLD2008-00577 Please refer to the following pages for conditions of this permit. 1 of 5
CASE NOTES FOR
B LD2008-00577
CONDITIONS FOR
BLD2008-00577
1) 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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2) 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
3) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
4) 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.
5) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County ordinances and building regulations.
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6) All property lines shall be clearly identified at the time of foundation inspection. X__ '�
7) 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
Inspec_ g;shall be made prior to requesting additional inspections.
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8) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinan Q or regulation, must be reviewed and approved by Mason County prior to construction.
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BLD2008-00577 Please refer to the following pages for conditions of this permit. 2 of 5
9) 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 yourXroject. �
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10) 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.
11) 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
chaff d shall be collected by the Building Department prior to any further inspections being performed or approvals granted.
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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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13) Stock Plan Identification number: 2006-0005
This project is approved subject to the provisions identified the Mason County Stock Plan Policy. The site plan approved by the Planning Department,
original building plans, and all attachments approved by the Mason County Building Department shall be available for the Mason County Building
X InspgLtQr each required inspection.
14) 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. XA�
15) Per IRC- SECTION R905- REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in
appordayicp with the applicable provisions of this section and the manufacturer's installation instructions.
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BLD2008-00577 Please refer to the following pages for conditions of this permit. 3 of 5
16) Per 2003 IRC -SECTION 1609 -WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the
minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609
BP,S,Q WIND SPEED (3-SECOND GUST) the wind speed for Mason County is 85 MPH.
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17) Washington State Energy Code Compliance has been approved using the following:
Heat Type: Electric or other fuels, Compliance Method: Prescriptive option IV, Window(Max U-Factor):0.35, Skylight(Max U-Factor):0.58, Doors
(Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-38 (see exception), Slab
Insulation R-10.
Exception: R-30 insulation may be installed, up to 500 sq. ft., in single rafter or joist vaulted ceilings where the distance of the top of the ceiling and the
und?rside of the roof sheathing is less than 12-inches and there is 1-inch vented airspace above the insulation.
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18) The"approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site plan is not on site, then
approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building Department prior to any further inspections being performed or approvals granted.
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19) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X< h�
20) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the
corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
removal of approved documents will result in failure of required building inspections.
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21) Owner/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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22) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will
not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Department prior to any further inspections being performed or approvals granted.
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23) 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
suc roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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24) 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
X 8r000--6647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
BLD2008-00577 Please refer to the following pages for conditions of this permit. 4 of 5
25) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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26) Completed Inspection---only issue is Chain around gate post is too thick for normal bolt cutters carried by Fire/Ems vechicles.This will hamper quick
responce to property.
27) Water quality is not to be degraded to the detriment of the aquatic environment as a result of this project.
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28) Prior to final approval, all upland areas disturbed wly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting)
29) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X
30) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are required for this proposed development and
construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X
31) All Best Management Practices should be strictly adhered to throughout the proposed development. X (—
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32) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. Drainfield/ Reserve requires a 1 Oft setback from all footing/foundations.
B. Septic tank(s) requires 5ft setback from all footing/foundations.
C.--No fAAundation drains within 30ft, down gradient of drainfield/reserve area.
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This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of
work is by means of a progress inspection.The owner or the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure for review and inspection. /
OWN ER OR AG ENT: DATE: r — 019
BLD2008-00577 Please referto the following pages for conditions of this permit. 5 of 5
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Owner Name: Don King Mailing Address: 9381 Mayhew NE
Site Address: 3529 Tahuya Blacksmith Rd City: Bremerton
City: Belfair Zip: 98311
Zip: 98528 Phone 1: 360-731-2720
Parcel Number: 223184400080 Phone 2:
Miles From Hiline Sales Office: 9 Phone 3:
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Copyright Hiline Homes 2005 Page 9 of 10 Revised September 2007
ACCESS & GRADE INSPECTION OLD
ADDRESS J 5 2
INSPECTOR DATE:
DRIVEWAY ACCESSLen the D Width: fi Surface:
Size of turn-around:
Condition of shoulders:
Vertical clearance:
( ) need post at end of driveway with reflective address numbers.
GRADE,OF DRIVEWAY %, OF ROAD
ROAD ACCESS
Length: Width: Surface:
Condition of shoulders:
Vertical clearance:
( ) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.
( ) LOT INSIDE . - FIRES ONLY.
( ) LOT INSIDE UGA, NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4X4 FIRES 2x3 FIRES.
PASSED ( ) FAILED ( ) ON HOLD ( )
REMARKS c J�i59 F-ID gAq�Y
(continue remarks on back)
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DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS ' I
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CONST CONT GENERAL
REGIST. ## EXP. DATE
CC01 HILINH*981BT 02/10/2010
o ( EFFECTIVE` DATE 01/30/2002
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11306 62ND AVE E
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REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL Please Remove
REGIST. ## EXP. DATE
CC01 HILINH*981BT 02/10/2010 And Sign
EFFECTIVE DATE 01/30/2002 Identification
Card Before
HI-LINE HOMES Placing In
11306 62ND AVE E Billfold
PUYALLUP WA 98373
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_ Issued by DEPARTMENT OF I_4BOR AND INDUSTRIES
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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.
et This Table
Ttr CaCcuiate :>>:<:;;::::»:::; >;:<:>:< . ;<>>>< ,::::<:»;:,.»: ` :>. . : ` l e
' �S . R # p
Surface Type Length X Width = Area ' All dimensions in feet
Buildings X 7 2-
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
Parking Areas =
Any paved, gravel or packed area per definition
above table
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 = d eve lopmetttf.s. reater than 2000 square feet a
...................... „. .. Small Parcel Stormwater Site Plan is Required
Total Irnperv�ou urfe Area (sum€>f all aras <
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read, acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read, acknowledge and sign
the information provided on page 2 of 2.
Page I of 2
Namc Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14, Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website:
bttp//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) vK-, 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 property for review and inspection as may be required.
Owne gent/Contractor(circle one)Date: I U
Page 2 of 2
fIL ICE - Building Permit Information Form - 1940 Plan
This form contains the information you'll need to complete your building permit packet. We've included information for all counties,
some of it may not apply to yours. If you have any questions, please give us a call at 360-275-1849
Applicant/Owner/Contact Information: Your name, address, shone number
Contractor Information: Name: HiLine Homes
Address: PO Box 3375
Belfair WA 98528
Phone: (360)807-1849
License# HILINH'981BT
Expiration: 02/10/10
Tax Parcel#/Assessor's Acct.# : This will be with your property information.
Job Site Address: Your new home address(example:xxx Filmore St.)
Legal Description: This will be with your property information. (example:Lot xx Large Lot Sub Division xxx in Lewis County etc.)
This will be a New Single Family Residence
Describe work/Type of Job: New Home construction
Home Information: Floor Area: (sq.footage)
Main/1st: 1940 #of stories: 1 Carports: 0
Second: 0 Bedrooms: 3 Decks: 0
Basement: 0 Bathrooms: 2 Porches: 80
Total: 1940
Garage: 528 (Attached)
Construction Method: Wood frame
Heating System:
Be sure to choose the information below that correlates with the heat system you have ordered.
H C/Mechanical Contractor is the company installing your heat system.
Cadet/Wall Mount/Zone Heaters: Standard heats stem
f
North Pacific Electric Contact: Bernie/Kim
NORTHPE957JA Phone: 360-943-6020
04/01/09 Location: Olympia
Marley Brand:
KW: 10.5
AMPS: 20
for the#of wall heaters,put 1,or you'll be charged extra for every one.
Heat Pump w/furnace w/HWH:
Installer: Chehalis Sheet Metal Contact: Dave Pyles
License#: CHEHASM252MH Phone: 360-748-9921
Expiration: 09/24/09 Location: Chehalis
Manuf: Trane Module: 2TWR1030A1000A KW: 10
Tonnage: 21/2 HSPF: 7.75 Seer: 10
LRA: 73 Efficiency: 100%
Natural Gas or Propane furnace w/HWH:
Installer: Chehalis Sheet Metal Contact: Dave Pyles
License#: CHEHASM252MH Phone: 360-748-9921
Expiration: 09/24/09 Location: Chehalis
Manuf: Trane Module: TDE060A936 Watts: 977
BTU: 60,000 Efficiency: 80%
Spot Vent Fan: 1 Kitchen Exhaust Fan: 1 Dryer Vent: 1 Wood/Gas/Pellet Stoves: 0 Gas Outlets: 0
Plumbing System: Installer: Dee Dubs Plumbing Contact: Darren
License#: DEEDUPL1990KQ Phone: 360-456-7469
Expiration: 05/19/08 Location: Olympia
Toilets: 2 Bathroom Sinks: 2 Bath Tubs: 2 Showers: 1 Kitchen Sinks: 1 Water Heater: 1
Clothes Washer: 1 Dishwasher: 1 Hose Bibs: 1 (first 4 enter quantity of 1,every home has 2)
Energy Compliance Information:
Compliance Method/Path: Always#3(Per Washington State Energy Code)
Total sq.ft of glazing(glass): Standard home: 181 . w/sliding glass door option: 198 divided by
total sq.ft.of heated area: 1940 equals a glazing percentage of 9% standard or 10% w/sliding glass door option.
Swinging doors and skylights are not counted in this configuration because they meet all requirement minimums.
Window Schedule: See attached form.
Ventilation System:
Intermittently operating Whole House Ventilation System using exhaust fans&window fresh air vents.(VIAQ 303.4.1)
House Fan Specifications: Whole house fan: Qty: 1 Manuf:Solitaire Ultra Silent Module#: S110U CFM: 110
Bathroom One-Bulb Heater/Fans: Qty 2 Manuf: Solitaire Ultra Silent Model#: 162 CFM: 70
Copyright 2003 HiLine Homes of Centralia
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/VIAQ Compliance Application
Owner: Telephone: Parcel#:
Type of Wiect ew Residence ( )Addition ( ) Remodel
Total Sq. Ft. 1 Floor: 2" floor: Heated Basement:
of heated area::
Heating System Type: lectric wall heater O Electric Central Furnace O LPG Furnace
O Heat Pump with electric furnace O Heat pump with gas furnace O Boiler,specify fuel type:
O Other: Specify
Glazing rescri tive Option see reverse side circle one: I II IV
Percentage: Complianc
Method O Component Performance , Chapter 5— Calculation worksheets required
Check
% O Systems analysis, Chapter 4
Whole House Ventilation system O Whole House Ventilation using a Heat
Ventilationrvents
ng exhaust fans&window or wall fresh air
System (YIAQ 303.4.1) Recovery Ventilation System (v14Q 303.4.4)
Y
Check one
Whole House Ventilation Integrated O Whole House Ventilation using an inline
h a Forced Air System (VI4Q 303.4.2) supply fan. vrAQ 303.4.3)
Window & Door Schedule (If needed, attach an additional sheet)
Total
Manufacturer Roomllocation U-Factor Size Quantity Square Feet
Windows:
LA I
19
Windows: Total Sq. ft.
Doors:
Doors:Total Sq. Ft
Total window and door area
Total window&door area /(divided by)total sq.ft of heated area = %of glazing
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Permit Assistance Center
SHELTON(360) 427-9670 BELFAIR(360)275-4467 Elma (360)482-5269
FAx: (360) 427-7798 WEB SITE: www.co.mason.wa.us
P.O. Box 186, SHELTON 98584
2006 Washington State Energy Code (WSEC)
2006 Ventilation and Indoor Air Quality Code (VIAQ)
Effective July 1, 2007
Code Compliance Application Form
The following information will be required for the WSEC and VIAQ plan review:
1. Complete the Washington State Energy Code/Ventilation and Indoor Air Quality Code (WSEC/VIAQ)
application located on the reverse side.
2. The window and door schedule should include all windows, skylights, sliding glass doors,french doors and
any other door with-50% glass or more. Use rough opening dimensions of windows and doors to calculate
size. It is always helpful to list the u-factors of windows and doors, if known. If you do not know u-factors,
the plan reviewer will assume all window& door glazing will have a u-factor of.35 or less. When using the
area weighted average method to comply with the prescriptive path include calculations with submittal
documents.
3. On your building plans note the location and fuel type of heating system, water heater, location of exhaust
fans (bathroom, laundry, kitchen, etc.)and R-factor of proposed insulation for walls, floors, ceilings, and
slabs. Outdoor lighting, permanently mounted to a residential building or to other buildings on the
same lot shall be high efficacy luminaires or motion sensor with integral photocontrol photosensor.
All linear fluorescent fixtures must be fitted with T-8 or smaller lamps, but not T-10 or T-12 lamps.
To verify compliance, provide lighting information on plans.
4. Questions? Call Mason County Community Development at(360) 427-9670 ext. 352. Additional WSEC
and VIAQ compliance information is also available on the WSU-Energy Program website at:
http✓/www.energy.wsu.edu/code/
Prescriptive Requirements " for Group R Occupancy
Climate Zone 1, Table 6-1
Glazing Glazing U-factor Vaulted Wall Wall Wall
Area%of Door Ceiling Ceiling3 Above interior exterior Slab s
Option F oor „ �' 2 See note Grade °below 4 Below Floor 5 on
10
Vertical Ovefiead Factors below t2 grade Grade Grade
I 10010 .32 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10
nFamily
15%". 35 .58 20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
nlimited
Single
Res .35 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
-3)Only .
*Reference-Case/Call(36Q)427-9670 ext.352 for footnote information. Log&solid timber wall with a min.avg.thickness of 3.5"are
exempt from the above grade wall insulation requirements.Vaulted ceilings shall be limited to 500 sq.ft.of ceiling area for any
one dwelling unit.
di Window Schedule
HIL INE for 1940 plan
H O M E S
Hiline Homes of Belfair
Manufacturer: Milgard Windows Inc. Model: Classic Series
Type: Vinyl U-Value = .36
Windows
Quantity Size/ Handing Glazing area Total S . Ft. Location
width x height
1 4'0 x 4'0 16 16 Bedroom 2
1 6'0 x 5'0 30 30 Bedroom 3
*1 6'0 x 4'0 24 24 Mast. Bed
1 4'0 x 4'0 16 16 Bathroom
1 4'0 x 3'6 14 14 Kitchen
1 6'0 x 5'0 30 30 Living Room
2 1'0 x 5'0 5 10 Entry
Slid. Glass Doors
1 6'0 x 6'10" sgd 41 41 Dining Rm.
Total glazing area 181 sq. ft.
181 - 1940 = .09 X 100 = 9%
Glazing Area _ Conditioned floor Area Glazing Percentage
* If a sliding glass door option was chosen, switch the appropriate window w/the sliding glass door
and use the calculation below.
1 6'0 x 6'10" sgd 41 41 Appropriate Room
198 - 1940 = .102 X 100 = 10%
Glazing Area _ Conditioned floor Area Glazing Percentage
All other doors,windows&skylights do not need to be calculated do to the fact they meet all minimum requirements.
MASON COUNTY PERMIT NO. b)J-)'O�W tJ
BUILDING PERMIT APPLICATION 00 isl l
L U 426 W. Cedar• P.O. Box 186, Shelton, WA 98584
'1 f Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
� � On the web vwwv.co.mason.wa.us
APPLIC-ANT INFORMATION CONTRACTOR INF�Rkll!
ATION
Owner S►r�c' 1 (" Company Name ; —
Mailing Address G Mailing Address
City » cc�lvr ,2 State LJA Zip Code `� ��'�.,:� City State Zip Code
Phone!IUC�III-2024 Other Ph.(jjg0)4ZI-05 Vj Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address / E Mail Address
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 Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please include street name, street number and city) 1qc 1 c.
Directions to site �"`� �r tic�" � ra-t&"WA � s r E 511.1. Ld- R A qRt:;2_�,
Will timber be cut and sold in parcel preparation?Yes/No
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs 5159%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms No. of Bathrooms Square Footage- 1 st F f 4y 2nd Floor
3rd Floor Basement Deck_ Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms-No. of Bathrooms
Type of Heat Purchase Price Replacement Unit? Yes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other 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 mformaticn provided is accurate and grants employees of Mason County access to the above
described property and structure 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 IS BY
MEANS OFAPROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X 1--- �; Date:
wner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APP DENIED NOTES
Building Department rdw
Planning Department
Environmental Health Department =
Fire Marshal
FEES
Building Permit Fee . 7 • Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee /Zit• Planning Review Fee
Mechanical & Base fee Z.SS• Other .50
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ �6 FlZq. TOTAL FEES
MASON COUNTY PERMIT NO.
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• PO. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair(360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner `o - �" .: Company Name
Mailin Addres Mailing Address j
City P State Zip Code City Mate Zip Code
Phoneblodb1r 1_72 " Other Ph. h�I D• Z Phone Other Ph.
Lien/Title Hold ,Contractor Reg. Exp.
E mail addressr E Bail Addres
Drivers Lic. # DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic, Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please include stre name, street number and city)
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair__Other __Use of Building
Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPG Natural Gas_ Heat Pump_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs _ Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks + Wood/Gas/Pellet Stove
Dishwasher �— Kitchen Exhaust Hood =
Hosebibs —� Dryer Vent i
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date: 1 O
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—Type Constr.
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