HomeMy WebLinkAboutBLD2024-00661 SFR - BLD Application - 3/14/2024 Permit No: '* 1 I
- MASON COUNTY
-- =�-
COMMUNITY DEVELOPMENT MAR 1 4 20
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION 615 VV. elder Stioet
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: JD C'Or4S�t ctGl�Lb,n , C NAME: 4- a, ,
MAILING ADDRESS:- [AILING ADDRESS:
CITY6 & r STATE:UIQ. ZIPQA 335 CITY: STATE: ZIP:
PHONE 1: (2157V o6-foLy$l PHONE: CELL:
PHONE 42: 112-qg EMAIL
EMAIL: fnCta 1+*f L&I REG#-CLX 51 SA EXP. / 1 /ZS Z
PRIMARY CONTACT: OWNER P""' CONTRACTOR g--- OTHER❑
NAME @ 6bcn5 EMAIL—
MAILING ADDRESS `7 617 5061 Yt CITY 61 Q?- STATE O-, ZIP
PHONE (Z53� $ �$' CELL 2 B
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 123 0 �'LQGO 2 tl ZONING
LEGAL DESCRIPTION(Abbreviated) Lof L 6 Q- LA I S FIRE DISSTRICT • it 4r
SITE ADDRESS �(}0 N LAt&t-eA- 'KCF. CITY 17pA-ee��•, VYlpbp4t
DIRECTIONS TO SITE ADDRESS ge_1 fa, b,, N. 1 0 0 I, Qew-
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO eSNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) S 1 n Q t'e- F a-►-,1 k 4 R Q,S ( Ge-
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 1'
HEATED STRUCTURE? YES(note Bldg) YES(Part[s]of Bldg)❑ NO❑
DESCRIBE WORK btZ.t -t- Farcmi t r-�--`t�Vtl
SQUARE FOOTAGE: (proposed)
I ST FLOOR_1?�sq.ft. 2ND FLOOR 1yZ4 sq.ft. 3RD FLOOR_ sq.ft. BASEMENT sq.ft.
vatvt
DECK sq.ft. COVERED 0@49h t{i$sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE_qS4 sq.ft. Attached®/Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
;f�DTH
K MODEL YEAR LENGTH
BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH: TGhtCS -- Dra�in �ed�l
SEWAGE/SEWER SOURCE: SEPTIC ee--- SEWER❑ / NEW I- EXISTING'
PLUMBING IN STRUCTURE? YES g NO❑ If yes,attach completed Water Adequacy Form
PERIMETERTOUNDATION DRAINS PROPOSED? YES 9--- NOD EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,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 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
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
n COUNTY CODE 14.08.42)
X .�t,Ivr, ,. Ka6 ,^L n, 3—7-?-4
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT -PLANNING DEPARTMENT
DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Permit No:"&1a k'24-lou Le
a
MASON COUNTY
COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: J.09, C0y\!5+rUe,4-lw . NAME: _"D(Z Cnt s+m ib--n, 1,r\ ,
MAILING ADDRESS: - 7o-7�_�st` r G�-,Nc,t, MAILING ADDRESS:
CITY:(a' STATE: _ZIP:g4?,335 CITY: STATE: ZIP:
V PHON : 53)J.8&-&t49,i PHONE: CELL:
2"d PHONE: N EMAIL :
EMAIL: L.r; , Conn L&I REG# CCS0RCoCt45l? EXP. 4/1/2S
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 12.3 b$'15 2 00 0?-'{ Zoning: R- 5 �
LEGAL DESCRIPTION(Abbreviated): Lc,4 Jt4 -Tlge,,- Lak:2, Trac k
SITE ADDRESS: 16 t -- N.S., Lu_urtA 9 A CITY: 'Qr1 '4 r
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW=ADD=ALT=REPAIR OTHE USE OF BUILDING 5 t n q l e- �Oe,c�t '40 K,!
LOCATION OF FIXTURES/UNITS-I ST FLOOR= R 2ND FLOOR=BASEMENT=GARAGE=OTHLI=
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric=LPG=Natural Gas=Ductlescz
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump/N(lint/SPI i a
Showers 1 Spot Vent Fan
Water Heater I Propane Tank
Clothes Washer ! Gas Ou
Kitchen Sinks ( Woo Gas ellet Stove 1
Dishwasher g Kitche xhaust Hood I
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 -�Gnr..�t� kat'4,;' 3-7- 24i
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT JTZ- ?--,-
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 J B N
Permit NoR, At �i—I
MASON COUNTY
COMMUNITY DEVELOPMENT MAR 14 2024 v
Permit Assistance Center,Building,Planning j, / }
6115 W. A11U1i I !S-11"3e!
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: JD 12 COrg4 t ttL+ gi, ��YY—cam NAME: a tvl s,
MAILING ADDRESS:'7'7U7-S6*" efits< G*.tJtA. MAILING ADDRESS:
CITYG! .,r r STATE:Wd. ZIPQAS35 CITY: STATE: ZIP:
PHONE 1: (25 3} a&-lb if$7 PHONE: CELL:
PHONE#2: q2-GI8 EMAIL
EMAIL: fl to *f' L&I REG#CCJ D9L*t195I1A EXP. / /ZS
avol
PRIMARY CONTACT: r OWNER W CONTRACTOR P--' OTHER❑ Z
NAME -Ttln EMAIL
_ CITY a OMAILINGADDRE S i6 - V - STATE a% ZIP
�
PHONE CELL 2 $6-
PARCEL INFORMATION: Z
PARCEL NUMBER(12 Digit Number) 123 0 5 5-2..abO 2 4 ZONING
LEGAL DESCRIPTION(Abbreviated) LL%+ 2„ l S FIRE DISTRICT
SITEADDRESS L01 NC, L �N'e CITY-1 I2 at't �mo�lh
DIRECTIONS TO SITE ADDRESS 6e lf6G r' 14Wt N. -y'o 0 G. Gear Ct r rz z .vs D
`t wr v r. �1 G 9 L aLk r CA R& , U+- at Le Nr+1
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO NOW LOAD: psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REEPAIR❑{ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) �)n G e F 6-►�lft t(t e G I � (ie
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS' "'?-
HEATED STRUCTURE?��YES(Whole Bldg) YES(Paar^t[s]ojBldg)❑ NO❑ ,,11
DESCRIBE WORK IJtt 1 �n G. M4� T \ -�c V� �'C*wv e—
SQUARE FOOTAGE:(proposed)
1 ST FLOOR Ij t q sq.ft. 2ND FppL��O��OR. d6 Z4 sq.ft. 3RD FLOOR��sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED. 9 i6sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 4%sq.ft. Attached®/Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAK MODEL YEAR LENGTH
DTH BEDROOMS BATHS SERIAL NUMBER 1
ENVIRONMENTAL HEALTH: Tu+�kS -- �fa�tn �edclt
SEWAGE/SEWER SOURCE: SEPTIC 2roo' SEWER❑ / NEW 9-- EXISTING2'0'
PLUMBING IN STRUCTURE? YES NJ NO❑ I,fyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 9�-- NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,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 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
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
T -,Q,` Q LL COUNTY CODE 14.08.42)
1.4
;146,
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT J -A
FIRE MARSHAL
PUBLIC HEALTH
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Name Crti5+ UC_4lpA Lf, Parcel# 123055Z000 2 q BLD# '20 2`7' - bou u ,
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)-TK 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.
X 04b4O. Owne Agen ontracto (circle one)Date: 3--7— 2y
Page 2 of 2
Name SnR Co.,s o n,f<►Y 'arcel# (Z 3 0 S7 Z a00 2.y BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 2)
Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development,or redevelopment', with more than 2,000 square feet of impervious surface 2.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction, installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
2Common 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 y Q X 29 = 1 y?—1
2.S X I _ 40 Measurements for buildings are taken at the
8
perimeter of the farthest projections(example:X = y8 eaves/gutters)
x =
Driveways 25 X
X = Length of drive begins at the right of way
X =
Parking Areas X =
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks 11) X Li = O
12 X 12 = t q Any paved, gravel or packed area per definition
above table
12 X 12 = 9q
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) 2 ,59 7
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.
r
X Z&Mlts.� f ry Owne Agent�ontractor,.circle one)Date: 3— 7— 24
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.
Pagel of 2
20 �8 Cad
MASON COUNTY BLD ECEWED
COMMUNITY DEVELOPMENT 2D2 T- MAR 14 2024
� Permit Assistance Center,Building,Planning
RCVD BY: _ 15 W. Alder Street
JAU
APPLICANT INFORMATION(please print clearly)
Name of Applicant: -To R (Art S'E'T Luz-,Alo", VAC, Parse Number 123 O 552 600 7-q
Site Address: L O 1 — N 6 , Lau rtA Rd. S&� 0�d I W fl 255 Z8
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.
I"= 10' or 1"=20' depending on lot size. t " = 1
North Arrow,location and dimensions of all ro ert 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. 1=1
Zoning(indicate):
Rural Residential:O2.5 f 5 O 10 O 20 Other:
Urban Growth Area: Zone:
Frontyard:Z5'+ Direction: 5ow+ti Side yard: 10'+ Direction: West-
Rear yard: 55' + Direction: NorAF• Side yard: 10 I" Direction: S&5+ u
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:
Shoreline designation:
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 Lft
wctures.
Existing/proposed wells show 100 ft well radius with distances to structures). ptt1MU11
Existin 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/<"= 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) Q
• Seismic zone(D-2)
• Exposure(by location and topography) C)
• 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 defail
Elevation view of foundation steps,with final grade M 1 in VIEUIt7
Cross-sections of footing and foundation(including height of wall). KI V"
Floor joist 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
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 and skylights)
Insulation value in floor. See Energy Credits for additional requirements,must be indicated on the plans.
Location of ventilation fans and CFM for each.
Location of whole house fan and CFM continuous or intermittent
Location,side and type of brace wall or shear-wall panels.If structure is engineered,must supply two
co ies of required analysis calculations
Dimensions and framing details of decks(including joists,beams,posts,ledgers.Plan MUST include LA I
sizegrade,spacing,length and species or type of material
ELEVATIONS AND WALL DETAILS
Typical and rated walls(garage separation)
Listing of fire-resistive wall designs(duplex or townhouse �y
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 121ans.
ROOF PLAN
Layout of roofs stem
Label type of roofs stem,rafters,engineered trusses&spacing
Headers noted at each location or typical header noted.
Roof pitch and covering materials Vr
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 l
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.
ja- �
Signature of owner or authorized agent Print Name Date