HomeMy WebLinkAboutBLD2019-00970 Cancelled SFR - BLD Application - 10/23/2019 MASON COUNTY COMMUNITY SERVICES Permit Not
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •PUBLIC HEALTH•FIRE IVA'a
• l,
615 W.Alder Street,Shelton,WA 98584 D
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone N EDEI VED
Belfaic(360)275-4467•Phone Elma:(360)482-5269 AUG 2 9
' 2019
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: r strut
NAME: 'e H*DE&o R e5 IE t S L_ e- NAME:HiLine Homes
MAILING A, RESS: O 3Z 3 MAIL DDRESS:11306 62nd Ave E
CITY: ( STATE: Gt� ZIP:Q s.Z CITY: uyall STATE:WA ZIP:98373
PHONE#1: 5 Dq- C-110 — 7S 1 PHON 253- -1849 CELL: 253-606-8280
PHONE#2: (00 r✓'y (O 2- EMAIL Pre-Co ruction@HiLineHomes.com
EMAIL:lC, CtSt-C W4v G.Lorv� L&I RE HILI -983BD EXP. 11/8/19 _
PRIMARY CONTACT: OWNER TRACTOR OTHER❑
NAME e-I-rN SL V EM t (.J�1 C a �t•• GO
MAILING ADDRESS P X 3�-'S ( CI K STATE�_ ZIP��
PHONE '60-KO"10 -'"1519 C E L 'Z> K
N I —
PARCEL INFORMATION: •
PARCEL NUMBER(12 Digit mber) o_32S--6D- 02- ZONING
LEGAL DESCRIPTION(Abbrev d E DIST ICT
SITE ADDRESS llqj NE M 1 I
DIRECTIQ DRESS 0 x-
4
IS THE OJECT WITHIN 300 FT F PE(S) ER THAN 14% O
IS PROP RTY WITHIN 200 FT O HE LOW G: (Check all that app ):
SALTWA ER ❑ LAKE❑ RIVE CREEK P D ❑ ETL SE S AL RUN, ,
UN S R
TYPE O WORK: NEW ITIO ❑ ALTERA N R AIR ❑ O
USE OF STR CTURE(Residence,Garage,Comme Idg,Etc.) NG
IS USE: PRI YX SEASONAL❑ NUMBER DR S 1�QBER O ATHRO oZ
HEATED STRU RE? YES(Whole Bldg YES(I, rtlsl of ❑ `
DESCRIBE WORK Ltd GDIUST 1D
SQUARE FOOTAGE: (proposed)
1ST FLOOR 10 L 3 sq.ft. 2ND FLOOR L 5(P0 sq.ft. 3RD FLOOR -C;)- sq.ft. BASEMENT sq.ft.
/
DECK l 16 D sq.ft. COVERED DECK -15- sq.ft. STORAGE _43 sq.ft. OTHER sq.ft.
GARAGE1 g sq.ft. Attached N Detached❑ CARPORT -t5^ sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE LUJ 6 MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC X SEWER ❑ / NEW, EXISTING ❑
PLUMBING IN STRUCTURE? YESA NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YESK NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
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
COUNTY CODE 14.08.42)
Signature of OWN (M I dst1be si ned by the OWNER Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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1200 Gallon Septic
2-Compartment with
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Arrow Septic Designs
171 E. Vuecrest Dr
Union, WA 98592
(360) 898-2255
FINAL
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MASON COUNTY COMMUNITY TVICES Permit N aR--)Cf
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL v J
615 W. Alder St- Shelton, WA 98584
• CEI�Ep
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext.352• Fax:(360)427-7798 AUG h p
Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 L J z��9
PLUMBING & MECHANICAL PERMIT APPLICATION 615 w Alders�eet
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: >Ke►TN w 91,0K9t> CI61S c.'Z Aw NAME: 14,Ltwe o wtES
MAILING ADDRESS: T. 0 . `BoX 3415 1 MAILPG ADDRESS: I13D 2.Alb 4V6
CITY:NCLFAIAL STATE:_ZIP: 4?%6 g CITY: h AJ1 STATE: WA, ZIP:
1"PHONE: .50Q- (P10- 7519 PHONE: 3 $ CELL:ASSIoD(o'8a$D
2°d PHONE: EMAIL : e>zm Q qj iL &Ovr%
EMAIL: K. 3e-lSLe -4? Wm
dAA64G . 0-0A1. L&I REG#N(LflJl{ c? 'S•n EXP. I1 /W$/(3
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): a9.4o15- SD- 0;562-o 4 a'T Zoning:
LEGAL DESCRIPTION (Abbreviated):
SITE ADDRESS: R41 N& llioktssln&., TCITY: Q.
RECTI, ,TO E ADVESS: i _ �'�.- 1 i N •? 1 .
if 'YQ 9-k m O Ab
I
TYPE QX JOB:
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS-ls' FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Tyne of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs —� Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks l Wood/Gas/Pellet Stove
Dishwasher I Kitchen Exhaust Hood Z
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
Signature of wn r Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 JBN
MASON COUNTY DEPARTMENT OF COMMUNITY SERVICES
www.co.mason.wa.us
SITE PLAN INSTRUCTIONS
A complete, accurate, and detailed site plan is important to avoid delays in the review and approval of your pro-
ject. A sample site plan and topography are located on the inside of this form. An easy to use grid, which can
be used to draw your site plan on, is also located inside. The following items will be required, if applicable, to
complete the building permit application package. Additional information may be needed depgnding upon
individual site conditions. For more information see submittal standards and instructions on the back of this form.
Dcn =cn =iz 70 X> a G) �0 om o p -0� c070 -00
-a (D O — O W CD N (D CL a) (D O C -"(D E(D 2(D (D o
2- 3
Submittal o< � m � m y � _ °Q o -3(D 0 2. m 22 �w � o � 3
v = 0 m o m :3 o - m :3 W (D
E o �1 Requirements 3 3 — co 0( 0- 9 O ca 5 `D 0.
q CD (D m X- o � � m
Q 3 —
0
Building Permit Application Form , , , ,, ,, , VO ,,
Site Plan 1 1 1 1 1 1 1 1 4
Septic Records ,, ,
Septic Permit Application
&Septic Design 3
Water Adequacy Form ,, ,, ,,
Construction Plans O 3 3 3 3 3 3
Energy Code If
Application Form `' VO Heated
Septic Pumpers Report X X X X X X
Existing systems older than 3 years.
Property Lines Flagged �
Geotechnical Study
See instructions on back 3 3 3 3 3 3 3 3
Plumbing/Mechanical WO VO
Application Form
Engineered Calculations ♦ I] 2 2 2 2 2 2
Floor Plan
SEPA
Road Access Permit ♦ ♦ ,,
Fire Apparatus Access Road
Small Parcel Stormwater
Application=orksheet
The number in the table indicates the number of copies required if applicable.
Required for submittal of a complete application.
X A pumpers report may be required when a septic system is existing and has been installed for three or more years. The report,
dated within the last three years, shall include the size and condition of both tank and baffles.
• Additional information and permits may be required by the Planning Dept.call extension 352 for information.
♦ If applicable, needed when site conditions require additional information.
O Engineered plans shall have design information&details transferred onto plans. One copy of the plans and calculations shall be
wet-stamped. Revised 09/04/2013
Nameef-1114-►Oe(D12es Parcel a-02S'5U-.D3024- 1f Z 7 B
Mason County #Uk��
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:
httt)//www.co.mason.wa—us/code/commissioners/index.htm
Please follow the links to "Title 14, Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document
entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their tirety 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
100 W.Public Works Dr
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 400
415 N.6th St—Bldg#8 lower level
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 �� Owner/Agent/Contractor(circle one)Date: 9
Page 2 of 2
Name aTti Z112-F-S Parcel# 9'? Z S�"D3QZ�O*�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 f7 X 4D 11000
X = Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = eaves/gutters)
X =
Driveways X o2 = 5?lP
X = Length of drive begins at the right of way
X =
Parking Areas X =
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X 20 (o D
X = Any paved, gravel or packed area per definition
above table
X =
Others X =
X = If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area(sum of all areas) 7j 3(p
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 revie d inspection as may be required.
7{ �� caner/ ent/Contractor(circle one)Date:
If the Total Impervious urface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
I il,
Simple Heating System Size: Washington State
This heating system sizing calculator is based on the Prescriptive Requirements of the 2015 Washington State Energy Code(WSECI and ACCA
Manuals J and S.This calculator will calculate heating loads only.ACCA procedures for sizing cooling s stems should be used t termine cooling
loads. s - s
Please fill out all of the green drop-downs and boxes that are applicable to your project.As you make selections in the drop-downs for se
some values will be calculated for you.If you do not see the selection you need in the drop-down options,please call the WSU Energy Exte
Program at(360)956-2042 for assistance.
Project Information Contact Information
KEITH&DELORES GEISLER HiLine Homes
1891 NE MISSION CREEK RD.BELFAIR,WA 98528 253-840-1849
Parcel 22325-50-03027
Heating System Type: o All Ocher systems 6 Heat Pump
To see detailed instructions for each section,place your cursor on the word'Instructions".
Design Temperature
Instructions ----------._____ .-__....
�Grapemew -,:,� Design Temperature Difference(4T) 40
OT=Indoor(70 degrees)-Outdoor Design Temp
Area of Building
Conditioned Floor Area
Instructions Conditioned Floor Area(sq ft) 2,373
Average Ceiling Height Conditioned Volume
Instructions Average Ceiling Height(ft) 8.01 18,984
Glazing and Doors U-Factor X Area - UA
Instructions
0.250 288 72.00
Skylights U-Factor X Area - UA
Instructions 0.50 ---
Insulation
Attic U-Factor X Area - UA
Instructions n�a 0.026 F 1,360 35.36
Single Rafter or Joist Vaulted Ceilings U-Factor X Area UA
Instructions No selection ---
Above Grade Walls(see Figure 1) U-Factor X Area UA
Instructions R211MM �b 0.056 F 2.112 118.27
Floors U-Factor X Area UA
Instructions RM 0.029 1,360 39.44
Below Grade Walls(me Figure 1) U-Factor X Area UA
Instructions sin.1. No selection ---
Slab Below Grade l+ee Faun tl F-Factor X Length UA
Instructions � ig No selection ---
Slab on Grade face Figure a F-Factor X Length UA
Instructions Seianx.vlr �. No selection Ll—r—JI
NOW
Location of Ducts
Instructions Duct Leakage Coefficient
NO Duns
1.00
Sum of UA 265.07
Envelope Heat Load 10,603 Btu/Hour
Figure 1. Sum of UAXAT
Air Leakage Heat Load 8,201 Btu/Hour
Volume X 0.6 X AT X 018
Above Grade Building Design Heat Load 18,804 Btu/Hour
Air Leakage+Envelope Heat Loss
Building and Duct Heat Load 18,804 Btu/Hour
Ducts in unconditioned space:Sum of Building Heat Loss X 1.10
Ducts in conditioned space:Sum of Building Heat Loss X 1
Maximum Heat Equipment Output 23,505 Btu/Hour
Building and Duct Heat Loss X 1.40 for Forced Air Furnace
Building and Duct Heat Loss X 1.25 for Heat Pump
(07101113)
' 2015 Washington State Energy Code:UA Alternative Worksheet,Type R-3 Occupancies
KEITH&DELORES GEISLER
1891 NE MISSION CREEK RD.BELFAIR,WA 98528
Parcel 22325-50-03027
Conditioned Floor Area 2,373
Component Performance,R occupancies Code Target Values Proposed Design
Area UA Area UA
Doors U=0.300 38 11 38 8
Overhead Glazing U= 0.500 0 0 0 0
Vertical Glazing U=0.300 250 75 250 61
Flat/Vaulted Ceilings U=0.026 1,360 35 1,360 37
Wall(above grade) U=0.056 2,112 118 2,112 106
Floors U=0,029 1,360 39 1,360 39
Slab on Grade F= 0.540 0 0 0 0
Below Grade Wall U= 0.042 0 0 0 0
Below Grade Slab F= 0.570 0 0 0 0
Target UA Total 279 Proposed UA Total Proposed Credits from 251
Target Credits from Table 406.2 3:5 3.5
Table 406.2
Qualifies,please check for complete Component Desripti<
If the Proposed UA s the Target UA,and the Proposed Credits from Table 406.2 are>those required In Section R406.2,then
the home meets the 2015 WSEC:
Exterior Doors
Plan Component Door Width Height
ID Description Ref. U Qt. Feet '"' Feet 'D°h Area UA
Therm.-rN Doors Custom 0.20 1 3 6 6 20 4
Therma-hu Doors Custom 0.20 1 2 8 6 9 18 4
0 0.00 0 0
0 0.00 0 0
0 0.00 0 0
0 0.00 1 01 0
0 1 0.00 1 1 01 0
Sum of Area and UA 38 8
Overhead Glazing:
Plan Component Glazing Width Height
ID Description Ref. U Qt Feet "'c' Feet Mch Area UA
0 0.00 0 0
0 0.00 0 0
0_ 0.00 0 0
0 0.00 0 0
0 0.00 0 0
Sum of Area and UA 0 0
Copyright 2013,WSUEEP10-009(Version 11)Copied by permission from Washington State University Extension Energy Program. (see copyright restrictions)
8/15/2019 1 of 4
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2015 Washington State Energy Code:UA Alternative Worksheet,Type R-3 Occupancies
Flat/Vaulted Ceilings
Plan Component Attic
ID Description Ref. U Area UA
R49 down Attk STD b.Med _ 10-7 0.027 1,3601 37
0 0.000 0
0 0.000 0
0 0.000 0
Sum of Area and UA 1 1,3601 37
Walls(Above Grade)
Plan >: Component Wall
.. ... .
14 Description Ref, U Net Area UA
HR-23CMftY2.6016-. Custom 0.050 2,112 106
_ - 0 0.000 0
0 0.000 0
0 0.000 0
Sum of Area and UA 1 2,112 106
i
Floor.(over crawl or exterior)
Plan': Component Floor
ID Description Ref. U Area UA
. R3Dwmted Joist 1B2m Custom 0.029 1,360 39
0 0.000 0
0 0.000 0
0 0.000 0
Sum of Area and UA 1 1,360 39
Slab on Grade(less than 2 feet below grade)
Plan Component Slab Slab
1D Description Ref. F Length UA
0 0.000 0
_ 0 0.000 0
0 0.000 0
0 0.000 0
Sum of Area and UA 01 =0
Below Grade Walls and Slabs
Plan Component Wall Wall Wall Slab Slab Slab
ID Description Ref. U Area UA F Length UA
_ 0 0.0001 0.0 0.000 0
0 0.000 0.0 0.000 0
0 0.000 0.0 0.000 0
0 0.000 0.0 0.000 0
Sum of Area,Length and LIAI 01 0.0 1 0 0
Copyright 2013,WSUEEPIO-009(Version 11)Copied by permission from Washington State University Extension Energy Program. (see copyright restrictions)
8/15/2019 3 of 4
2015 Washington State Energy Code:UA Alternative Worksheet,Type R-3 Occupancies
Table R406.2 Summary
Opt Description
Credit(s)
1a Efficient Building Envelope 1a 0.5 2 0.5
lb Efficient Building Envelope 1 b 1.0 ❑
1c Efficient Building Envelope 1c 2.0 ❑
1d Efficient Building Envelope I 0.5 ❑
2a Air Leakage Control and Efficient Ventilation 2a 0.5 ❑
2b Air Leakage Control and Efficient Ventilation2b 1.0 ❑
2c Air Leakage Control and Efficient Ventilation 2c 1.5 ❑
3a High Efficiency HVAC 3a 1.0 ❑
3b High Efficiency HVAC3b 1.0 ❑
3c High Efficiency HVAC 3c 1.5 ❑
3d High Efficiency HVAC 3d 1.0 21 1.0
4 High Efficiency HVAC Distribution System 1.0 ❑
5a Efficient Water Heating 5a 0.5 O 0.5
5b Efficient Water Heating 5b 1.0 ❑
5c Efficient Water Heating 5c 1.5 O 1.5
5d Efficient Water heating 5d 0.5 ❑
6 Renewable Electric Energy 0.5 kWh ❑
Total Credits 3.5
*Please refer to Table A4062 for complete option descriptions
Copyright 2013,WSUEEP10-009(Version 11)Copied by permission from Washington State University Extension Energy Program. (see copyright restrictions)
8/15/2019 4 of 4
C
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/Ventilation Code Compliance Application 11&Z
.
Submit with heating/cooling system size worksheet (see instructions #4) ®
Owner: Parcel#: Type of project:
keufl a 2a3QS-S0-b3VZ&* -1'7 6_4
12
4/yl E
Total Sq. Ft. ls1 Floor : 2"d floor: Heated Basement:
of heated area:: (l)13 13 (,0 -&_
Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace
O Heat Pump with electric furnace O Heat pump with gas furnace 1 Ductless Heat Pump
O Boiler, specify fuel type: O Other:
Specify:
X Prescriptive Option Table R402.1.1 (see table on previous page)
Compliance ❑ Component Performance, R402.1.3 — Calculation worksheets required
Method
Mal Check one::
❑ Other (Specify):
Check one ❑ Whole House Ventilation system ❑ Whole House Ventilation
Ventilatio using exhaust fans&window or wall Integrated with a Forced Air ❑ Other, describe:
fresh air vents(M1507.3.4). If using System (141507.3.5)
n System window vents be sure to order
windows with vents.
Referencing Table R406.2, "Additional Residential Energy Efficiency Requirements," all residential units
must develop credits as specified in Table 406.2. Identify and describe which option(s) will be used to
comply. If the table is not attached to this form you can access the table on our website at:
http://www.co.mason.wa.us/forms/Communily Dev/iecc wsec.pdf
,Additional a) Description: Small dwelling units: less than 1,500 sq. feet of heated or cooled floor
area and less than 300 sq. ft fenestration area (skylights, doors, windows, etc).
Energy *Including additions to existing building that are greater than 500 sq. ft. of heated floor
Efficiency Requirem but less than 1,500 sq ft of floor area. Requires 1.5 credits
ents b) Medium dwelling units that are not included in (a) above {small dwelling}, OR (c) below
Energy {large dwelling} Requires 3.5 credits
credits
EXCEPTION: Dwelling units serving R-2 occupancies shall require. Requires 2.5
required: credits. See page two for description.
3.5 c) Large dwelling unit is a dwelling unit that exceeds 5,000 sq. ft. of heated or cooled
floor area. Requires 4.5 credits
d) Additions less than 500 sq feet. Requires .5 credits
(Fenestration is defined in the IECC as skylights, roof windows, vertical windows, opaque
doors, lazed-doors that include products with glass and non-glass glazing materials.
Describe Energy Credit Option(s):
1.EFFICIENT BUILDING ENVELOPE to(0.5 CREDIT)-COMPLIANCE BASED ON SECTION R402.1.4.REDUCE THE TOTAL
Option UA BY 5%.
Using p 2.HIGH EFFICIENCY HVAC EQUIPMENT 3D(1.0 CREDIT)-DUCTLESS SPLIT SYSTEM HEAT PUMP,ZONAL CONTROL
number(s): 3.EFFICIENT WATER HEATING 5A(0.5 CREDIT)-ALL SHOWERHEAD AND KITCHEN SINK FAUCETS INSTALLED IN THE
HOUSE SHALL BE RATED AT 1.75 GPM OR LESS.ALL OTHER LAVATORY FAUCETS SHALL BE RATED AT 1.0 GPM OR
LESS.
1A,3D,5A,5C 4.EFFICIENT WATER HEATING 5C(1.5 CREDITS)-ELECTRIC HEAT PUMP WATER HEATER WITH A MINIMUM EF OF 2.0
AND MEETING THE STANDARDS OF NEEA'S NORTHERN CLIMATE SPECIFICATIONS FOR HEAT PUMP WATER
_ HEATERS.
5.TOTAL CREDITS=3.5
3
FENESTRATION'SCHEDULE
USE FOR ENERGY CREDIT, a) SMALL DWELLING OPTION & COMPONENT PERFORMANCE COMPLIANCE
List all windows, doors,.skyliq.hts. (If needed, attach an additional sheet)
'Fenestration is defined in IECC Chapter 2 as skylights, roof windows, vertical windows, opaque doors, glazed-doors
that include products with glass and non lass glazing materials.
Manufacturer Location U-Factor Size Quantity Total
(rough opening) Square Feet
Milgard DINING RM .24 6 X 6'10 1 41
Milgard GRT RM, DEN .25 6 X 5 2 60
Milgard MBR & SEWING RM .25 6 x 4 2 48
Milgard BR2 & BR3 .25 5 X 4 2 40
Milgard STAIRWELL .22 4 X 4 1 16
Milgard KIT .25 4 X 3'6 1 14
Milgard MBATH .25 4 X 3 1 12
Milgard UTIL .25 3 X 3 1 9
Milgard ENTRY .22 2 X 5 1 10
Therma-tru ENTRY .20 3 x 6'8 1 20
Therma-tru GARAGE .20 2'8 X 68 1 18
Total Fenestration: windows, skylights and door area 288
Energy Credits
4
c '
(2015 WSEC- Table 406.2)
OPTION DESCRIPTION CREDIT(S)
la EFFICIENT BUILDING ENVELOPE la: OS
X Prescriptive compliance is based on Table R402.1.1 with the following modifications: 5
Vertical fenestration U =0.28
Floor R-38
Slab on grade R-10 perimeter and under entire slab
Below grade slab R-10 perimeter and under entire slab
or
Compliance based on Section R402.1.4: Reduce the Total UA by 5%.
lb EFFICIENT BUILDING ENVELOPE lb: I.0
Prescriptive compliance is based on Table R402.1.1 with the following modifications:
Vertical fenestration U =0.25
Wall R-21 plus R-4
Floor R-38
Basement wall R-21 int plus R-5 ci
Slab on grade R-10 perimeter and under entire slab
Below grade slab R-10 perimeter and under entire slab
or
Compliance based on Section R402.1.4: Reduce the Total UA by 15%.
1 c EFFICIENT BUILDING ENVELOPE lc: 10
Prescriptive compliance is based on Table R402.1.1 with the following modifications:
Vertical fenestration U =0.22
Ceiling and single-rafter or joist-vaulted R-49 advanced
Wood frame wall R-21 int plus R-12 ci
Floor R-38
Basement wall R-21 int plus R-12 ci
Slab on grade R-10 perimeter and under entire slab
Below grade slab R-10 perimeter and under entire slab
or
Compliance based on Section R402.1.4: Reduce the Total UA by 30%.
1 d" EFFICIENT BUILDING ENVELOPE ld: 0.�
Prescriptive compliance is based on Table R402.1.1 with the following modifications:
Vertical fenestration U=0.24
2a AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION 2a: OS
Compliance based on R402.4.1.2: Reduce the tested air leakage to 3.0 air changes per
hour maximum
and
All whole house ventilation requirements as determined by Section M1507.3 of the
International Residential Code shall be met with a high efficiency fan(maximum 0.35
watts/cfm),not interlocked with the furnace fan.Ventilation systems using a furnace
including an ECM motor are allowed,provided that they are controlled to operate at
low speed in ventilation only mode.
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the maximum tested building air leakage and shall
show the qualifying ventilations stem.
2b AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION 2b: 1.0
Compliance based on Section R402.4.1.2: Reduce the tested air leakage to 2.0 air
changes per hour maximum
and
All whole house ventilation requirements as determined by Section M1507.3 of the
International Residential Code shall be met with a heat recovery ventilation system
with minimum sensible heat recovery efficiency of 0.70.
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the maximum tested building air leakage and shall
show the heat recovery ventilation system.
5
OPTION DESCRIPTION CREDIT(S)
?C AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION 2c: Ls
Compliance based on Section R402 4.1.2: Reduce the tested air leakage to 1.5 air
changes per hour maximum
and
All whole house ventilation requirements as determined by Section M1507.3 of the
International Residential Code shall be met with a heat recovery ventilation system
with minimum sensible heat recovery efficiency of 0.85.
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the maximum tested building air leakage and shall
show the heat recovery ventilation system.
3a HIGH EFFICIENCY HVAC EQUIPMENT 3a: 1.0
Gas,propane or oil-fired furnace with minimum AFUE of 94%,or
Gas,propane or oiled-fired boiler with minimum AFUE of 92%
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the heating equipment type and the minimum
equipment efficiency.
3b HIGH EFFICIENCY HVAC EQUIPMENT 3b: 1.0
Air-source heat pump with minimum HSPF of 9.0
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the heating equipment type and the minimum
equipment efficiency.
3c HIGH EFFICIENCY HVAC EQUIPMENT3c: 1.5
Closed-loop ground source heat pump;with a minimum COP of 3.3
or
Open loop water source heat pump with a maximum pumping hydraulic head of 150
feet and minimum COP of 3.6
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the heating equipment type and the minimum
equipment efficiency.
3db HIGH EFFICIENCY HVAC EQUIPMENT 3d: 1.0
X Ductless Split System Heat Pumps,Zonal Control:In homes where the primary space 1.0
heating system is zonal electric heating,a ductless heat pump system shall be installed
and provide heating to the largest zone of the housing unit.
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the heating equipment type and the minimum
e ui ment efficiency.
4 HIGH EFFICIENCY HVAC DISTRIBUTION SYSTEM: 1.0
All heating and cooling system components installed inside the conditioned space.
This includes all equipment and distribution system components such as forced air
ducts,hydronic piping,hydronic floor heating loop,convectors and radiators.All
combustion equipment shall be direct vent or sealed combustion.
For forced air ducts:A maximum of 10 linear feet of return ducts and 5 linear feet of
supply ducts may be located outside the conditioned space.All metallic ducts located
outside the conditioned space must have both transverse and longitudinal joints sealed
with mastic.If flex ducts are used,they cannot contain splices.Flex duct connections
must be made with nylon straps and installed using a plastic strapping tensioning tool.
Ducts located outside the conditioned space must be insulated to a minimum of R-8.
Locating system components in conditioned crawl spaces is not permitted under this
option.
Electric resistance heat and ductless heat pumps are not permitted under this option.
Direct combustion heating equipment with AFUE less than 80%is not permitted
under this option.
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the heating equipment type and shall show the
location of the heating and cooling equipment and all the ductwork.
6
l �
OPTION DESCRIPTION CREDIT(S)
Sa EFFICIENT WATER HEATING 5a: 0.5
X All showerhead and kitchen sink faucets installed in jhe house shall be rated at 1.75 5
GPM or less.All other lavatory faucets shall be rated at 1.0 GPM or less.`
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the maximum flow rates for all showerheads,kitchen
sink faucets,and other lavatory faucets.
5b EFFICIENT WATER HEATING 5b: 1.0
Water heating system shall include one of the following:
Gas,propane or oil water heater with a minimum EF of 0.74
or
Water heater heated by ground source heat pump meeting the requirements of Option
3c.
or
For R-2 occupancy,a central heat pump water heater with an EF greater than 2.0 that
would supply DHW to all the units through a central water loop insulated with R-8
minimum pipe insulation.
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the water heater equipment type and the minimum
equipment efficiency.
5c EFFICIENT WATER HEATING 5c: 1.>
Water heating system shall include one of the following:
X Gas,propane or oil water heater with a minimum EF of 0.91 1.5
or
Solar water heating supplementing a minimum standard water heater.Solar water
heating will provide a rated minimum savings of 85 therms or 2000 kWh based on the
Solar Rating and Certification Corporation(SRCC)Annual Performance of OG-300
Certified Solar Water Heating Systems
or
Electric heat pump water heater with a minimum EF of 2.0 and meeting the standards
of NEEA's Northern Climate Specifications for Heat Pump Water Heaters
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the water heater equipment type and the minimum
equipment efficiency and,for solar water heating systems,the calculation of the
minimum energy savings.
5d EFFICIENT WATER HEATING 5d: (0
A drain water heat recovery unit(s)shall be installed,which captures waste water heat
from all the showers,and has a minimum efficiency of 40%if installed for equal flow
or a minimum efficiency of 52%if installed for unequal flow.Such units shall be
rated in accordance CSA B55.1 and be so labeled.
To qualify to claim this credit,the building permit drawings shall include a plumbing
diagram that specified the drain water heat recovery units and the plumbing layout
needed to install it and labels or other documentation shall be provided that
demonstrates that the unit complies with the standard.
6 RENEWABLE ELECTRIC ENERGY: 0.5
For each 1200 kWh of electrical generation per each housing unit provided annually
by on-site wind or solar equipment a 0.5 credit shall be allowed,up to 3 credits.
Generation shall be calculated as follows:
For solar electric systems,the design shall be demonstrated to meet this requirement
using the National Renewable Energy Laboratory calculator PVWATTs.
Documentation noting solar access shall be included on the plans.
For wind generation projects designs shall document annual power generation based
on the following factors:The wind turbine power curve;average annual wind speed at
the site;frequency distribution of the wind speed at the site and height of the tower.
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall show the photovoltaic or wind turbine equipment type,
Provide documentation of solar and wind access,and include a calculation of the
minimum annual energy power production.
a.Projects using this option may not use Option to,lb or lc.
b.Projects may only include credit from one space heating option,3a,3b,3c or 3d.When a housing unit has two pieces of
equipment(i.e.,two furnaces)both must meet the standard to receive the credit.
c.Plumbing Fixtures Flow Ratings.Low flow plumbing fixtures(water closets and urinals)and fittings(faucets and
showerheads)shall comply with the following requirements:
1.Residential bathroom lavatory sink faucets:Maximum flow rate-3.8 L/min(1.0 gal/min)when tested in accordance
with ASME Al12.18.1/CSA B125.1.
2.Residential kitchen faucets:Maximum now rate-6.6 L/min(1.75 gal/min)when tested in accordance with ASME A112.18.1/CSA B125.1.
3.Residential showerheads:Maximum flow rate-6.6 L/min(1.75 gal/min)when tested in accordance with ASME A112.18.1/CSA B125.1
7
Name Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 2)
Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development,or redevelopment',with more than 2,000 square feet of impervious surfacez.
'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 X =
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example: +
eaves/gutters)
X =
Driveways X =
X = Length of drive begins at the right of way
X =
Parking Areas X = +
X _ Any paved, gravel or packed area per definition'
above table
X =
Patios/Walks X =
X _ Any paved, gravel or packed area per definition
above table
X =
Others X =
X = If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas)
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
If the Total 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