HomeMy WebLinkAboutBLD2025-00072 SFR, ADV - BLD Application - 1/21/2025 Permit No: �L�?6Z�j —00012
MASON COUNTY
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION JAN [ 1 2025
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Pete Field and Clair Toynbee NAME:Fox Head Construction W.AJde'Street
MAILING ADDRESS:9811 Glaris Dr.NE MAILING ADDRESS:1091 SE Craig Rd
CITY:Olympia STATE:WA ZIP:98516 CITY:Shelton STATE:WA ZIP:98584
PHONE#1:360-359-5017 PHONE: -870-1287 CELL:
PHONE#2: EMAIL:Travis@foxheadconstruction.com
EMAIL,:ptfield@icloud.com L&I REG#FOXHEHC943KE EXP,05/21 /26
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME sammatme EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)22134-50-00019 ZONING RR-5
LEGAL DESCRIPTION(Abbreviated)°""`"—"'"""""—'""°•'""m` FIRE DISTRICT5
SITE ADDRESS 101 E Community Club Rd CITyShelton
DIRECTIONS TO SITE ADDRESS North on HWY 3,East on E Pickering Rd,East on E Community Club Rd,End at 101 E Community Club
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%.: YES❑ NO❑ SNOW LOAD:25 psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER[a LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
n
TYPE OF WORK: NEW E] ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
r USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Ex.)Single Family Residence
j IS USE: PRIMARY E] SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS2.5
HEATED STRUCTURE? YES(Whole Bldg)❑� YES(Part[s1 ofetdg)❑ NO❑
DESCRIBE WORK New construction of a 2 bedroom single family residence.
SQUARE FOOTAGE:(proposed)
1ST FLOOR1430 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENTI509 sq.ft.
DECK98 sq.ft. COVERED DECK329 sq.ft. STORAGE 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 El SEWER❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES Q NO❑ [fyes,attach completed Water Adequacy Form
PERIMETER TOUNDATION DRAINS PROPOSED? YES❑+ NO[] EXISTING SQ.FT.1509
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
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,including 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 permitlapplication becomes null 8 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
PF$ LICATI OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
(/ COUNTY CODE 14.08.42)
Xv C>t a2
ignature of OW st be signed by the OWNER) Datel
DEPARTMENTAL REVI W APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Permit No:$L.020ZC5 —006-7 Z
MASON COUNTY
COMMUNITY DEVELO D
Permit Assistance Center, Building, Planning JAN 11 2025
PLUMBING & MECHANICAL PERMIT APPW&T r Stree$
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Pete Field and Claire Toynbee NAME:Fox Head Construction
MAILING ADDRESS:101 E Community Club Rd MAILING ADDRESS:1o91 SE Craig Rd
CITY:Shelton STATE:wA ZIP:985M CITY:Shelton STATE:wA ZIP:98584
1"PHONE:360-359-son PHONE:360-870-1287 CELL:
2nd PHONE: EMAIL :travis@foxheadconswcbon.com
EMAIL:Plheld@icloud.com L&I REG#FOXHEHC943KE EXP. o5 21 26
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):22134-50-00019 Zoning.RR-5
LEGAL DESCRIPTION(Abbreviated):PICKERING PASSAGE wrRFR TRACTS(UNRECORDED)TR 8-B&TAX 1223-C
SITE ADDRESS:101 E Community club Rd,Shelton WA 98W4 CITY:Shelton
DIRECTIONS TO SITE ADDRESS:
North on HWY 3, East on E Pickering Rd, East on E Community Club Rd, End at 101 E
Community Club Rd
TYPE OF JOB:
NEW=ADD=ALT=REPAER=OTHER=USE OF BUILDING Single Family Residence
LOCATION OF FIXTURES/UNITS—I sT FLOOR 2ND FLOOR=BASEMENT Q GARAGED OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric[-71LPCC=1Natura1 Gas[�Ductless�
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink 4 Furnace
Bath Tubs 1 Heat Pump 1
Showers 1 Spot Vent Fan 4
Water Heater 1 Propane Tank 1
Clothes Washer 1 Gas Outlets 2
Kitchen Sinks 1 Wood/Gas/Pellet Stove'
Dishwasher 1 Kitchen Exhaust Hood 1
Hose bibs 2 Dryer Vent 1
Other 1-utility sink Solar Panel -
Other 1-HRV
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
WIL IDA THE PLICATIO `
x C� t A-I / a? 5
ignature of Own r 'Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev 1/27/2016 JBN
PROJECT DETAILS: I SETBACKS:
NEW CONSTRUCTION OF A SINGLE FAMILY RESIDENCE FRON-=25 I
SIDE=7CO%OFLC'WIDTH) PLN Approved 1
PARCEL NO.: REAR=COMMON_INE(SEE CASE#SPI2002-00069)
2734-50-000.9 02/20/2025
IMPERVIOUS CALCULATIONS: Mason County Community Development
SITE ADDRESS: 2.371 S.F.PROPOSED RE51DFNGE(ROOF AREA) Gavin Scouten
1011 E COMMUNI'1Y CLUB RD 630 S.F.PROPOSED PARKING APRON AND WALKWAY All Changes Subject to Approval Z
SHELTON,WA 98584 160 S.F.PROPOSED REAR LOWER PATIO Disclaimer
8 S.F.PROPOSED LANDING Mason County does not require surveys for
OWNER 7er7J F PROPOSED RA\�i D t��iiAY building.As a result,site plans may not reflect �
PETE FIELD AND CLARE TOYNBEE 5,579 S.F.TOTAL accurate data.It is the applicant's responsibility L1J
9811 GLACIS OR NE to comply with setback requirements. 0 _
OL"t-:.[A WA 98510 5,579 S.F.TOTAL IMPERVIOUS SURFACES tY
25,264.60 S.F.LOT 5TE(0.58 ACRES) RR5 STANDARD SETBACKS' LU
PER"l-nNG JURISDICTION: 22%TOTAL IMPERVIOUS SURFACES RATIO UJ '
MASON COUNTY Front:25' Z
RURAL RESIDENTIAL(RR-5) STORM WATER DRAINAGE PLAN: Sides:5'(ADV2025-00002) J
GUTTER DOWNSPOUT TO TIGHT LINE TO DAYLIGHT Rear: 20'
MAX BUILDING HEIGF =36 'unless otherwise stated on the site plan s_3_e ��e -►9
EROSION CONTROL PLAN: *all setbacks measured from the farthest
SILT FENCE
projection of the building Q
viawTY nAP
*subject to EH setbacks (No sC4LE)
New owwv
1569NE, 27sas0000s
_ I RE517EYCE I
EXIS?bJ . 'S"59
-- -RED OR� \ SIDE s I f Q
/ ass -
f�77�. PROPOSED W
273344000u L x / C� r. .NONCE
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I 1 p 8
7 f Z Z
��i� PaPeRv NE gals - '24asg - x °� W 3
\ DawNGRAOE SETBAI q t9
1 7 SYSa
B -an 2733-000020
� \ i TOP OF a,NK
\ / Tan ui33oa000rno � / � U 1-1
\ — — — — /�COHOK_ONE' _ce Top OF SANK 2 T 5-H4.OK A Q
—i.EGEND. A W W
EH APPROVED I ;-� °E�°„a,� W_ I
3-E+a5nN0 WATER WE N
4-E)aSm%r1 POWER
D.Mderson 02127/2025 s-PROPOSEDDW SWAY TO SEUTWMDASCONSTtic*1CNVENrR—CE
g-PROPOSED sEPnC 5YSTEM
7-PROPOSED RESER Z AREA
I b-PROPOSED t{L\vEL W,�W4Y I
EH SETBACKS 9-rl.AYWmi TEMPORARY,REIA.STNR SYSTE'
O-E$9571NG APPRO%,TV X 4V DEPRESSiON
n-PRO ovv5RED WOOD Deck(% I SITE PLAN r
A)Drainfield/Reserve requires 10'setback from footing/foundations 2-PROPOSEDLOWERPATq
B)Septic tank eb on grade,not required to meet seis)requires 5'setback from all footing/foundations I
W-PROPOSED DETACHED GARAGE(SEPARATE PERMIT)
C)No foundation/perimeter drains within 30'down-gradient of drainfield 15-PROPOSED PARKNG APRON AND WAUCWAY
PROPOSED
n NOT AN APPROVED SEPTIC DESIGN
reserve area -,A C # k n
D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' I a-oc R 011P RS DN I Use approved tic deli for septic system installation
down-gradient of drainfield/reserve area t _ _ pp y
BLD
MASON COUNTY
4k COMMUNITY DEVELOPMENT 2-�- 000�2- JAN 21 2025
Permit Assistance Center,Building,Planning RCVD BY
• 615 W.Alder
ANIVA S .
APPLICANT INFORMATION(please print clearly)
Name of Applicant: Pete Field and Claire Toynbee Parcel Number 22134-50-00019
Site address: 101 E Community Club Rd, Shelton WA 98584
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.
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 rivate ✓
Show distances to all structures,septic tanks,drain fields,property lines,top of slopes or cuts and
easements. 121
Zoning(indicate):
Rural Residential:02.5 0 5 0 10 0 20 Other: -
Urban Growth Area: Zone: -
Front yard:228 Direction: West Side yard: 7' Direction: North
Rear yard: 50 Direction: East(OHWM) Side yard: 7' Direction: South
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 ❑
submitted.
Is the site near a Shoreline stream,creek,lake, saltwater if yes,please indicate? ✓
Name of shoreline: Pickering Passage
Shoreline designation: Residential
Stream type 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 ft well radius,with distances to structures). ✓
Existing and proposed stormwater controls(downspouts,dry wells,etc. ✓
Exterior storage tanks(propane)and HVAC equipment. a
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
Cross-sections of footing and foundation(including height of wall).
Floor'oist andspacing each floor).
Location of flood venting, size and method of compliance for venting. 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 CVR
Use of each room A-1/A-2
Attic access size and location S-3
Dimensions of building and rooms. S-1/S-2
Location and type of furnaces,water heaters,smoke detectors,and carbon monoxide detectors. Include M-1/M-2
location of bollard for appliances located in garage.
Heat Detector in garage(required in all garages attached,must be hardwired to smoke&carbon) N/A
Plumbing fixture locations M-1/M-2
Location of doors,windows include size,egress,tempered and skylights) S-1/S-2
Insulation value in floor. See Energy Credits for additional requirements,must be indicated on the plaiis. CVR
Location of ventilation fans and CFM for each. M-1/M-2
Location of whole house fan and CFM continuous or intermittent M-1/M-2
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) D-2
Listing of fire-resistive wall designs(duplex or townhouse N/A
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 A-4/A-5
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 N/A
structures.
Insulation value for walls. See Energy Credits for additional requirements,must be indicated on the plans. CVR/D-2
ROOF PLAN
Layout of roofs stem S-3
Label type of roofs stem,rafters,engineered trusses&spacing
Headers noted at each location or typical header noted.
Roof pitch and covering materials A-4/A-5
Sheathing types,dimensions and fastening
Attic venting e,location and amount A-4/A-5
Insulation value for roof(R38 vault and R49 ceiling) See Energy Credits for addition requirements,must CVR/D-1
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, CVR
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. <—�
Signature of owner or aAhKiized Agient Print Name Date
MASON COUNTY
COMMUNITY SERVICES
Build'ng Planning Envirmmmtd Health.Cammuniry Health
Name IF_un Permit#: 91-0202-i- 00012
CALCULATIONFEE • ' Determination under
Occupancy Type Square Footage Valuation Amount Total Valuation
(VB) (sq. ft. x valuation)
Residence/Addition/Basement 2.413q , 0C) $167.37 $ Q01 1 , 0100 •-13
Garage/Storage $66.48 $
Unfinished Basement $31.50 $
Deck $17.00 $
Carport/Covered Deck 3 2 01 .00 $24.00 $ -� of OO
Other $
TOTAL VALUATION $
Estimated Plan Review Fee: $ 2 3 d$ • 12
Planning Dept. Review Fee [$275, $450, $100]: $ 2-7 G e 00
Environmental Health Review Fee: $ 1 4 O •00
Fire Access & Grade Review Fee ($s .
ADD - Address Application Fee
GEO - Geo-technical Review Fee ($300.00]: $
ADV 2025- 00002 Review Fee[$130.00] $ 1 30 . 00
WAT 20 25 ' b001 O - WAT Fee: Iq 0 00
Other: 9 N Eft 4 CODE
TOTAL DUE WHEN PERMIT IS SUBMITTED: $ 3 1-7 0 e (p-7
The estimated plan review fee is based upon information provided at the time of application and is subject to change. Planning
Department fee is a flat fee which is due when permit is submitted. Building permit fee, mechanical fees, and plumbing permit fees
will be calculated during plan review. The balance of all other fees will be collected when permit is issued.
ESTIMATED BUILDING PERMIT FEES
Building Permit Fee (ICC, Table 1 — Building Valuation Data) $ 3550 , 9(o
Estimated Mechanical Fees (U.M.C., Table 1-A). $
Estimated Plumbing Fees (U.P.C. ,Table 1-1) $
State Fee: $25 $6.50 $ .C5 Q
Technology Surcharge: J 20
Other:
Estimated Building Permit Fees WHEN PERMIT IS READY for pickup: $
("all fees subject to change w/o notice) GRAND TOTAL $ ,q OI c6 1`?S
414 Stephen Scott Reviewed for Code Compliance
Mason County Building
Approved for Issuance Department
Changes Mason County Permit Document
Submit changes for approval BLD2025-00072
prior to performing work
MASON COUNTY
COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning
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
Owners Name: Site Address:
Pete Field and Claire Toynbee 101 E Community Club Rd, Shelton WA 98584
Mailing Address:
9811 Glacis Dr NE
Olympia WA 98516 Parcel Number:
22134-50-00019
— ------
SquareFeet(total):
2939
Ventilations Compliance:
OWhole House Ventilation system ED Whole House Ventilation
using exhaust fans&window or wall Integrated with a Forced Air
fresh air vents(M1507.3.4) System(M1507.3.5)
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.
All Climate Zones(Table R402.1.1)
R-Value a U-Factors
Fenestration U-Factor b n/a 0.30
Skylight U-Factor b n/a 0.50
Glazed Fenestration SHGC b,1 n/a n/a
Ceiling° 49 0.026
Wood Frame Wall oh 21 int 0.056
Floor 30 0.029
Below Grade Wall ,h 10/15/21 int+TB 0.042
Slab d.t R-Value&Depth 10, 2 ft n/a
R-values are minimums.U-factors and SHGC are maximums.When insulation is installed in a cavity that is less
a than the label or design thickness of the insulation,the compressed R-value of the insulation from Appendix
Table A101.4 shall not be less than the R-value specified in the table.
b The fenestration U-factor column excludes skylights.
"10/15/21+5TB" means R-10 continuous insulation on the exterior of the wall,or R-15 continuous insulation on
the interior of the wall,or R-21 cavity insulation plus a thermal break between the slab and the basement wall at
c the interior of the basement wall."10/15/21+5TB"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."5TB"
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.
Prescriptive Path—Single Family 2018 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
h center,78%of the wall cavity insulated and headers insulated with a minimum of R-10 insulation.
i 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.
! 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 T
System I Credits
Energy Equalization Credits Select-ONE System Type
Type Single Family_
1 For combustion heating equipment meeting i 0.0 ❑
minimum federal efficiency standards for the
equipment listed in Table C403.3.2(5)or C403.3.2(6)
2 For an initial heating system using a heat pump I
that meets federal standards for the equipment i
listed in Table C403.3.2(2)and supplemental 1.5 ❑
'heating provided by electric resistance or a
combustion furnace meeting minimum
standards listed in Table C403.3.2(5)b
3 1 For heating system based on electric resistance only
(either forced air or Zonal) 0.5El
41 For heating system using a heat pump that meets
;federal standards for the equipment listed in Table
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
cooling and are rated in accordance with AHRI
550/590 I
5 For heating system based on electric resistance with
1. Inverter-driven ductless mini-split heat pump 2.0
'system installed in the largest zone in the dwelling,or.
2.With 2kW or less total installed heating capacity j
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 38°F
(3.3"C)(or lower).Below that"changeover"temperature,the heat pump would not operate to provide space heating.The gas furnace provides heating I
below 38'F
(3.3`C)(or lower).
c.Additional points for the HVAC system are included in Table R406.3.
Prescriptive Path—Single Family 2021 Washington State Energy Code-R
Energy
Options ' Energy Credit Option Descriptions Please indicate ( Details
P chosen credit
1.1 Efficient Building Envelope 0.5
1.2 Efficient Building Envelope 1.0
1.3 _ Efficient Building Envelope 1.5
1.4 Efficient Building Envelope 2.5
2.1 'Air Leakage Control and Efficient Ventilation 1.0
2.2 Air Leakage Control and Efficient Ventilation 1.5
2.3 _:Air Leakage Control and Efficient Ventilation 2.0
3.1a High Efficiency HVAC 1.0
3.2a High Efficiency HVAC_ _ 0.5
3.31•`•d High Efficiency HVAC 0.5
3.41,1 'High Efficiency HVAC 1.5
3.5 d High Efficient HVAC _1.5
3.6a High Efficiency HVAC 1.0
3 7a,d Hi h Efficiency HVAC _ 2.0
3.8a,d High Efficiency HVAC _ j _ 1.0
3.9 High Efficiency HVAC 1.5 -
3.10f High Efficien HVAC 2.5
3.11` I HighEfficiency HVAC_ _ 0.5
4.1 High Efficiency HVAC Distribution System 0.5
5.1d Efficient Water Heating 0.5
5.2 Efficient Water Heating I 0.5
5.3 Efficient Water Heating ( 0.5 I
5.4 Efficient Water Heating _ 1.0
5.5 Efficient Water Heating 1.5
5.6 Efficient Water Heating 2.0 I
5.7 Efficient Water Heating 2.5
58 Efficient Water Heating I 2.5
6.1 Renewable Electric Energy(3 credits max) 1.0
7.1 Appliance Package 0.5 I
Total
Credits i
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 living areas include living,dining,kitchen,family rooms,and similar areas.
f. Option 3.10 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 manufacturer's
specifications or guidance. Supplementary heat for water heating shall be in accordance with Section
R403.5.7
Prescriptive Path-Single Family 2021 Washington State Energy Code-R
WSU Code Compliance Calculator,WSEC 2021
Project Information Messages i Comments" REStlIT-PASS
Field Residence-Medium Dwelling Unit
101 E Community Club Rd Note: Review required for custom entries:-Doors
Shelton,WA 98584 UA Reduction=31.36,Proposed UA is better than baseline by 6.1
Contact Information
Adam Laneer Design Window area is 14%of floor area
1950 Black Lake Blvd SW
Olympia,WA 98512 Whole House Mechanical Ventilation Airflow Rate:68.75 CFM with Run Time Percent of 100%,Balanced,Not Distributed
approval.Analysis should be reviewed by your AHJ.
ANALYSIS SET UP
What code compliance pathway are you using? Total UA Alternative,Whole Building Trade Off Analvsls
Project Building Type? New Construction
Occupancy Type? R3 Single family dwellings and townhouses
Code Version? WSEC 2021
Classification: Medium Dwelling Unit-2939 sq.ft.
Baseline Description: Code Baseline-Maximum baseline window area is 15%of floor area.
About Your Selection: No exempt window or door areas
RESULTS-Comparison of Baseline and Proposed Design
Component Performance R occupancies Baseline Proposed Design
U` Area UA U Area UA
Doors U= 0,300 307 92.0 0.317 307 97.1
Overhead Glazing U= 0,500 0 0.0 0 0.0
Vertical Glazing U= 0,300 409 122.8 0.236 409 96.5
Flat/Vaulted Ceilings U= 0,024 1,430 34.3 0,017 1,430 24.3
Wall(above grade) U= 0.056 2,365 132.4 0,054 2.365 127.7
Floors over Crawlspace U= 0,029 0 0.0 0 0.0
Slab on Grade F= 0.540 86 46.4 0.550 86 47.3
Below Grade Wall U= 0.035 1,143 40.0 0.034 11143 38.9
Below Grade Slab F= 0,500 86 43.0 0.556 86 47.8
Values from Table R402.1.2(Oct 2023)
Baseline UA Total 511.0 Proposed UA Total 479.E
Required Credits 8,0 Proposed Credits 8.0 from Tables 406.2 and 406.3
UA Percent Reduction 6
UA Reduction 31.4
Re subs 3.. ...,s ar_complete and correct Results de not constitute an approval Analysis should be revewed 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
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-
4 are configured to provide both heating and cooling and are rated in accordance with Water Heat Pump 3.0 5.0 8.0
AHRI 5501590
Table R406.3 Energy Credits
Option No. Category Select Options Energy Credits Brief Description of Selected Options*
1 Efficient Building Envelope Not Selected 0.0
Per Section R402.4.1.2/2.0 ACH50/For R-2,0.25 cfm per ft2 at 50 Pa.
2 Air Leakage Control and Efficient Ventilation Option 2.1 1.0 / HRV with min SHR eff of 0.65 per IRC Section Ml505.3 or IMC
Section 403.8
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 Not Selected NA -Not applicable to ductless system selected in Option 3
5.1 Efficient Water Heating:Drain Heat Recovery Not Selected 0.0 -
Field WSU C32021 20241009-Master.xlsm 1'9/2025
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 5.6 2.0 Electric heat pump water heater meeting NEEA Tier 3.
6 Renewable Electric Energy I kWh Not Selected 0.0
7 Appliance Package Not Selected 0.0 -
Energy Credits 5.0
'Refer to WSEC 2015 Table R406.2 for complete option descriptions and requirements
Field WSU C32021 20241009—Master.xlsm 1/9/2025 2
WSU Code Compliance Calculator,WSEC 2021
THERMAL ENVELOPE DETAILS-Proposed Design
li Conditioned Floor Area,Proposed Design 2939 sq.ft
Classification Medium Dwelling Unit
Notes j
Exterior Doors
Plan Component Door Width Height
ID Description Ref. U Qt. Feet '"`" Feet """ Area UA
3680 Fiberglass Door Custom 0.33 1 3 e 8 28 9.2 RefertOWSEf.R404.1
2080FX Fiberglass Door Custom 0.33 3 2 0 8 0 48 15.8 Refer WWSECR:402A
3068 Fiberglass Door Custom 0.33 1 3 0 6 8 20 6.6 Referto WsEc R402:1
6080 Fiberglass Door Custom 0.33 1 6 0 8 ° 48 15.8 RefertoWSECR4026
.. . . .... . .... ...
608OSGD,Sliding Door Custom 0.29 1 6 0 8 0 48 13.9 Refer to WSEC R402.1
. ... ... . ..... .
8061OSG SlidingDoor Custom 0.29 1 8 0 6 10 55 15.9 Refer toWS.WRA02:1
6068 Fiberglass Door Custom 0.33 1 6 ° 6 8 40 13.2 Refer.to W$EC R402,1
3068 Fiberglass Door Custom 0.33 1 3 0 6 8 20 6.6 Referto WSEC R402.1
0 0.0
0 0.0
Sum of Area and UA 307 97.1
Exterior Doors Area Weighted U 0.317
Overhead Glazin
Plan Component Glazing Width Hei ht
ID Description Ref, U Qt. Feet "`" Feet pi1i Area UA
Sum of Area and UA 0.0 0
Overhead Glazing Area Weighted U
Vertical Glazing Schedule Rows to Show 22
Plan Component Glazing Width Hei ht
ID Description Ref. U Qt. Feet Feet """ Area UA
1 2056SH U=0.25 2021 1.2;2018 1.4 Table 406.2 0.25 1 2 5 6 11.0 2,75
2 2056FX U=0.22 2021 1.1;2018 1.5 Table 406.2 0.22 1 2 0 5 6 11.0 2.42
3 3018FX U=0.22 2021 1.1;20181.5 Table 406.2 0.22 1 3 0 1 8 5.0 1,10
4 3068MU U=0.25 2021 1.2;2018 1.4 Table 406.2 0.25 2 3 0 6 8 40.0 10.00
5 3026FX U=0.22 2021 1.1;2018 1.5 Table 406.2 0.22 1 3 0 2 8 7.5 1.65
6 2068MU U=0.22 2021 1.1;2018 1.5 Table 406.2 0,22 2 2 0 6 8 26.7 5.87
7 2041FX U=0.22 2021 1.1;20181.5 Table 406.2 0.22 1 2 0 4 8.2 1.80
8 210411E U=0.22 2021 1.1;20181.5 Table 406.2 0.22 1 2 10 4 13.9 3.06
9 2063FX U=0.22 2021 1.1;2018 1.5 Table 406.2 0.22 1 2 0 6 3 12.5 2.75
10 21068MU U=0.22 2021 1.1;2018 1.5 Table 406.2 0.22 2 2 10 6 8 37.8 8.31
11 2668MU U=0.25 2021 1.2;2018 1.4 Table 406.2 0.25 2 2 8 6 a 33.3 8.33
12 2667MU U=0.25 2021 1.2;2018 1.4 Table 406.2 0.25 2 2 0 6 7 32.9 8.23
13 2056SH U=0.25 2021 1.2;20181.4 Table 406.2 0,25 1 2 0 5 8 11.0 2,75
14 4010FX U=0.22 2021 1.1;2018 1.5 Table 406.2 0.22 2 4 0 1 0 8.0 1.76
15 21066FX U=0.22 2021 1.1;2018 1.5 Table 406.2 0.22 2 2 10 6 e 36.8 8.10
16 2062FX U=0.22 2021 1.1;2018 1.5 Table 406.2 0.22 1 2 0 6 z 12.3 2.71
17 3657FX U=0.25 2021 1.2;2018 1.4 Table 406.2 0.25 1 3 a 5 7119.5 4.89
18 2048FX U=0.25 2021 1.2;2018 1.4 Table 406.2 0.25 1 2 0 4 8 9.3 2.33
19 21050SC U=0.25 2021 1.2;2018 1.4 Table 406.21 0,25 2 2 10 5 0 28.3 7.08
20 21050FX U=0.22 2021 1.1;2018 1.5 Table 406.2 0,22 1 2 10 5 0 14.2 3.12
21 3050SC U=0.25 2021 1.2;2018 1.4 Table 406.2 0.25 2 3 ° 5 0 30.0 T50
22
Sum of Area and UA 409.3 96.5
Vertical Glazing Area Weighted U 0.236
Vertical Glazing and Doors Area Weighted U 0.270
FlaWaulted Ceilings
Plan Component Attic
ID Description Ref. U Area UA
R60 blown Attic ADV baffled 2021 1.3.1.4;2018 1.6 10-7 0.017 1,430 24.3
Sum of Area and UA 1.4301 24.3
Field WSU C32021 20241009-Master.xism 9 2925
Walls Above Grade
Plan Component Wall
ID Description Ref. U Net Area UA
R21 cavil +Ro foam INT 2X6W La "Code Baseline) 10-5 0.054 2,365 128
Sum of Area and UA 2,365 128
Field WSU_C32021_20241009—Master.xlsm 1/gt2025 4
WSU Code Compliance Calculator,WSEC 2021
Floor over crawl or exterior
Plan Component Floor UA
ID Description Ref. U Area
0
Sum of Area and UA 0 0
Slab on Grade tess than 2 feet belowgrade)
Plan Component Slab Slab
ID Description Ref. F Perim FP
R10 Fully insulated Heated Code Baseline 10-2 0,550 86 47
Sum of Perimeter and FP 86 47
Below Grade Walls and Slabs
Plan Component Slab Wall Wall Wall Stab Slab Slab
ID Descri tion Depth Ref. U Area UA F Perim UA
R13 Batt+R5 ci "dc th WSU 0.03 1 143 38.9 0.556 86 48
Sum of Area,Length and UA 1,143, 38.9 861 48
Links to Download Forms,Checklists and Other Resources Link
Compliance Certificate Corrchenee Cerifcate lastrcairnrs
Insulation Certificate for Residential New Construction Insulation Certificate
Duct Testing Affadavits
Existing Construction Affidavit,Existing
New Construction Affidavit,New
Prescriptive Checklist for 2018 WSEC Prescnotive Checklist
Alterations(Remodel)Worksheet Worksheet
EER SEER2 COP HSPF2 Converter httos://v -adicotengineering.comleer-seer2-cep-hscf2-kmon-converter
Ventilation Requirements
Conditioned Floor Area 2,939 sq-ft.
Number of Bedrooms 2
Run-Time Percent in Each 4-Hour Segment 100'%0
Is the system Balanced? Balanced Verify system meets definition of'Balanced Whole-House Ventilation'
Is the system Distributed? Not Distributed
Ventilation Code Section IRC,Chapter 15
Whole House Mechanical Ventilation Airflow Rate F 69 CFM
HVAC Thermal Distribution System Download RS-33(2018)htto:;/,Nv,%v 2018
Is this a hydronic heating system? iNa
Location of Ducts unducted
Location of Air Handler unducted
For Existing Construction: Are Any of These Exceptions True?
Are ducts systems documented to have been previously sealed as confirmed No
through field verification and diagnostic testing per RS-33?
Is there less than 40 linear feet in unconditioned spaces?(not excepted under No
WSEC 2021) _
Are existing duct systems constructed,insulated or sealed with asbestos? No
Is the project an Addition less than 750 sf of conditioned floor area^ No
Is Duct Testing Required?No
Maximum Duct Leakage:
Is this a post-contruction test? No
Is the air handler installed? No
Maximum total measured duct leakage per square foot 0.03 CFM25 per sq.ft.
Maximum allowable total measured duct leakage 88 CFM25
Heating System Sizing-Proposed Design Try Out BetterSuiltNW's HVAC Sizing Tool:.httos:%/betterbuiitnw corn'rescwrces�hvac-sizing-}g�I
Nearest Weather Station Shelton
Indoor Design Temperature 70 F
Outdoor Design Temperature 23 F
Field WSU C32021 20241009—Master.xlsm 1/9/2025 _�
' WSU Code Compliance Calculator,WSEC 2021
Design Temperature Difference(6T) 47 F
Conditioned Floor Area,Proposed Design 2,939 ft2
Conditioned Volume 29,390 ft3
Leave blank to use default of 8 5 ft ceiling height
HVAC System Type Heat Pump
Location of HVAC Distribution System Unducted
Sum of UA 480
Envelope Heat Load 22,543 Btu/Hour
Sum of UA X 4T
Air Leakage Heat Load 14,918 Btu/Hour
((Volumex 06)X6T)X 018))
Building Design Heat Load 37.461 Btu/Hour
Air Leakage+Envelope Heat Loss
Building and Duct Heat Load 37,461 Btu/Hour
For ducts located in unconditioned space:Sum of Building Heat Loss X 1.1
For ducts located in conditioned space or ductless:Sum of Building Heat Loss X 1
Maximum Heat Equipment Output 46.827 Btu/Hour
Building and Duct Heat Loss X 1,25 for head pumps 13.7 k W
Building and Duct Heat Loss X 1.40 for all other systems
Field WSU C32021 20241009-Master.xlsm 1/9/2025 6
Name E1'rl —10VO WE� Parcel# Z1.134 BLD#
1'lason County JAN 21 2025
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (W&I,o� ,,_
Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface2.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area *All dimensions in feet
Buildings X =
Residence X = 2371 Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways X =
Drive X = 2400 Length of drive begins at the right of way
X =
Parkin as X =
Parking
Areas
X = 630 Any paved, gravel or packed area per definition
Aproabove table
X =
Patios/Walks X =
Lower Patio X = 160 Any paved, gravel or packed area per definition
above table
Landing X = 18
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) 5,579
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
Name-Ft EL I)71—ova sec-- Parcel# S' 1,i 1 5-0- CGOI of BLD#
l2Fs►D�lcf�
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) X 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-
desc ' fo review and in e n as may be required.
X Owner/Agent/Contractor(circle one)Date: O l/9 t /"2 r
Page 2 of 2
Ad
MASON COUNTY Mason Coun q^-•,
COMMUNITY SERVICES ✓
r ADv -
t Building,Planning,Environmental Health,Community Health J AH N Z 1 ry
I� i �Q(,5
615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd
Phone:(360)427-9670 ext.352♦Fax:(360)427-7798
ee: $ 6%1
Request for Administrative Variance for
Reduction in the Required Setbacks
For administrative review,the minimum variance on a setback request is 5 feet from the side yard lot
lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction
requires a standard variance. Setbacks are measured from the furthest projection of the structure,
including roof eaves and
utters.
Applicant/Owners: anza
Mailing Address:
City: �(_It,M P 1 State: (\ Zip: `)
Telephone:
Email: � i P� `i CJINA - CQ,4A
If this reduction is tied to a building permit, please give permit case number.
BLD -
Parcel Number(s): j,'Z: tZq, '56 -CYO I Zoning
Site Address: C n ,64.,oLA ,x C_L LA R R$\ , SNC L FVti/ W
Requested setback variance:
S� ft. ❑ Front ❑ Rear Side
ft ❑ Front ❑ Rear ❑ Side
ft. ❑ Front ❑ Rear ❑ Side
ft ❑ Front ❑ Rear ❑ Side
Front Setbacks—From access easements and road right of ways. Minimum 10 feet.
Rear Setbacks—From the rear property line. Minimum 10 feet.
Side Setbacks—From the side property line. Minimum 5 feet except for certain shoreline designations.
An illustrated site plan is required.
Your site plan must show the following: north arrow, abutting street or easements, and set backs to all
property lines and existing buildings,slopes, surface water, wetlands, critical areas, septic,well and
driveway. Show all proposed new development.
P
FRONT AND OR REAR YARD REDUCTION REOUESTS:
For existing lots of record as of March 5, 2002;
You must meet one of the following:
1) One of the following exists on the lot(check all that apply):
❑ a) steep slopes,wetlands, or streams present;
❑ b) soils that restrict building or septic development;
❑ c) lot width at the front yard line of no more than 50 feet;
❑ d) lot size of no more than one-fourth acre;
❑ e) existing improvements of buildings, septic systems, and well areas.
SIDE YARD REDUCTION REQUESTS:
For existing lots of record as of March 5, 2002;
You must meet one of the following:
2) One of the following exists on the lot(check all that apply):
❑ a) steep slopes, wetlands, or streams present;
❑ b) soils that restrict building or septic development;
❑ c) lot width at the front yard line of no more than 50 feet;
❑ d) lot size of no more than one-half acre;
0,e) existing improvements of buildings, septic systems, and well areas.
Explain how these circumstances preclude a reasonable development proposal from meeting the
setback standard for Rural Residential 2.5, 5, 10, or 20 zones.
NS-C. tx_)r R�5 tic-a-�-r q L th�.r-tE , �t At i TLb'
t,oT
Owner/Agent(please indicate)
SignaEr- Date
Official Use Only
Approved by: Date
Denied by: Date
Reason for denial:
PROJECT DETAILS: SETBACKS:
NEW CON57RUG7ION OF A SINGLE FAMILY RESIDENCE FRONT= 25'
SIDE =7 (10916 OF LOT WIDTH)
PARCEL NO.: REAR= COMMON LINE (SEE CASE # SPI2002-00069)
22134-50-00019
IMPERVIOUS CALCULATIONS:
SITE ADDRESS: 2,371 S.F. PROPOSED RESIDENCE (ROOF AREA)
101 E COMMUNITY CLUB RD 630 S.F. PROPOSED PARKING APRON AND WALKWAY z
SHELTON, WA-8584 100 S.F. PROPOSED REAR LOWER PATIO Ur
18 S.F. PROPOSED LANDING —
2400 S.F_ PROPOSED GRAVEL ORNEWAY C�
OWNER W
PETE FIELD AND CLAIRE TOYNBEE 5,579 S.F. TOTAL -)
9811 GLAGIS DR NE ry
OLYMPIA WA 9851(i 5,579 S.F. TOTAL IMPERVIOUS SURFACES
25,204.80 S.F. LOT SIZE(0.58 ACRES) ui u
PERMITTING JURISDICTION: 225vo TOTAL IMPERVIOUS SURFACES RATIO LJJ
z '
MASON COUNTY
Q u
v
RURAL RESIDENTIAL (RR-5) STORM WATER DRAINAGE PLAN: J
GUTTER DOWNSPOUT TO TIGHT LINE TO DAYLIGHT
MAX BUILDING HEIGHT=35'
EROSION CONTROL PLAN: Q
SILT FENCE
VICINITY MAP
(NO SCALE)
NEW DRIVE BEGINS TP#221343000021
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\ _ TP#221334.4000 O /I i j' U
/ SETBACK
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v � / / F L EGEND: / TO TOP OF BANK
\ I 1- PROPOSED RESIDENCE -
` 2- EXISTING WELL PUMP HOUSE J
3- EXISTING WATERLINE / IL U 1
5 PROPOSED
DRIVEWAY
T EM E UTILIZED AS CONSTRUCTION ENTRANCE
- PROPOSED
7- PROPOSED RESERVE AREA
I 8- PROPOSED GRAVEL WALKWAY I
9- STAIRWAY WITH TEMPORARY/REMOVABLE STAIR SYSTEM
10- EXISTING APPROY,12W X 4'D DEPRESSION
11- PRGPO5=D COVERED WOOD DEGK(S) SITE PLAN
12- PROPOSED LOWER PATIO CID
13- PROPOSED 6 X 5 LANDING SCALE. 1 '40
14- PROPO
SED DETACHED GARAGE(SEPARATE PERMIT) I Z
15- PROPOSED PARKING APRON AND WALKWAY
16- PROPOSED SEPTIC TANKS r V` (v
I 17- HVAG
18- SILT FENCE PER BMP W of
19- STORM WATER DISPERSION Q Q