HomeMy WebLinkAboutBLD2025-00139 SFR - BLD Application - 2/3/2025 PIANNING Permit No: BLIDo 095-00(319
MASON COUNTY RECEIVE
COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning FEB 0 3 2025
BUILDING PERMIT APPLICATION 615 W. Alder Skvet
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: __ NAME: _
MAILING ADDRESS: MAILING ADDRESS:
CITY: 6nWdM STATE: L&A ZIP: CITY: STATE: --ZIP: _
PHONE#1: ?(gyp-17D0-KF6 PHONE: CELL: _
PHONE#2: EMAIL:
EMAIL: ( L&I REG# EXP.
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 323157500080 ZONING RR-5
LEGAL DESCRIPTION(Abbreviated) TR 8 OF SURVEY 13/240 FIRE DISTRICT
SITE ADDRESS NE CAPSTAN ROCK ROAD CITY TAHUYA
DIRECTIONS TO SITE ADDRESS NE MANKE ROAD TO NE CAPSTAN ROCK RD
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESN_ NtOL ❑ SNOW LOAD:,-Cpsf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): ClEOR02T-001001(f
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 2f.ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) 1&S I d i t_F__
IS USE: PRIMARY 2�- SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS �-
HEATED STRUCTURE? YES(Whole Bldg)12�,YES(Parris]of Bldg)❑ NO❑
DESCRIBE WORK OtW SIFF ,
SOVARE FOOTAGE: (proposed)
i ST FLOOR-aM sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK_ 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 SEWER❑ / NEW'4 EXISTING❑
PLUMBING IN STRUCTURE? YESO NO❑ !f yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS Q __ PROPOSED BEDROOMS _ _ _ 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
COUNTY CODE 14.08A2)
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE 'TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Permit No:&W�Q2C3-d013�
MASON COUNTY
COMMUNITY DEVELOPMENT RECEIVE-=
oN c Permit Assistance Center, Building,Planning
FEB 0 3 2015
PLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Alder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: O(MP+J 6jA►S NAME:
MAILING ADDRESS: II Ne4ovll'rl �t MAILING ADDRESS:
CITY: 1<I'ArA4i0-,.1\ STATE: zu ZIP: + CITY: STATE: ZIP:
I`' PHONE: 40 400 6 160 PHONE: CELL:
2nd PHONE: EMAIL :
EMAIL: ghl1A% Ga M L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): Z017i7g: PIF-S
At LEGAL DESCRIPTION (Abbreviated):
SITE ADDRESS: X)( NE CAWAN K_ bK CITY: TiA17A JAVA
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW E;C]ADD=ALI REPAIR OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS— I Sr FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:EIectric=LPG=Natural Gas=Ductles
Toilets Z. Type of Unit No.of Units Fees
Bathroom Sink �_ Furnace
Bath Tubs / Heat Pump �
Showers 1 Spot Vent Fan
Water Heater / Propane Tank I t
Clothes Washer / Gas Ou is
Kitchen Sinks Woo Ga P8Ilet Stove
Dishwasher Kitchen xhaust Hood
Hose bibs Dryer Vent
Other Solar Panel �6 Pa►u,(,S,v fq&yov , ;Zo2 ool` 1
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 APPLICAT ON.
x ��� � f:7eIO
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/1-7/2016 JBN
SITE PLAN REQUIREMENTS:
A complete, accurate and detailed site plan is important to avoid delays in the review
and approval of your project. Use the checklist below as a tool to help you complete
the site plan.
1. Scale: A scale of 1"=20', is typical but other scales such as 1"=10' or 1"-40' are
also acceptable. Do not exceed 1"=60.
2. North arrow
3. Property line location and dimensions.
4. Label abutting streets
5. Shoreline/Surface water: Indicate creeks, streams, lakes, ponds, wetlands and
other bodies of water within 300 ft of the proposed project.
6. Wetlands and Seasonal Drainage: Show setback distances from wetlands or
seasonal drainage.
7. Easements: Indicate location and size of road, utility, and private easements.
8. Show All Existing Development: Identify existing and proposed structures.
Include porches, decks, roof overhangs, cantilevers, and structures that will be
demolished.
9. Proposed Building Footprint: Use scale to show distances to property lines,
existing structures, septic tank and drainfield. Stake or flag footprint of
proposed structure.
10. Sewage Disposal System: Identify septic tank location and drainfield.
11. Existing and proposed Buffers: Include open space, fences, sidewalks and
parking areas.
12. Retaining walls: Proposed and existing.
13. Slopes/Site contours (Topography): Identify any slopes greater than 15%,
fills or cuts greater than 4ft. that are located within 300ft. of the proposed project.
Use Contour lines or arrows to show the direction of the slope.
14. Wells: Show existing and proposed, need to include all wells located within
100 ft of property.
15. Waterfront projects: Show all structures on adjacent property.
16. Driveway/ Site Access
17. Stormwater Run-off Path: Identify stormwater run-off path and direction of
flow.
18. Land modification/Grading permits: Site applications for land modification
permits must show topography before and after the proposed work.
Name N o f rA P4 L L(S V- Parcel#37,315-75-V V d S 0 B L D# ;�90�5—P0 13'7-
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.
'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 =
X = Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X `� = 2g I eaves/gutters)
X =
Driveways X =
/p p X ;_O = zo0 o Length of drive begins at the right of way
Parking Areas X =
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X =
� v lk �b X 6 = 3vo 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 a inspection as may be required. 77
X caner/ ent/Contractor(circle one)Date: c7 rr, , p�OarJ
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
2021 Washington State Energy Code—Residential
Single Family—New&Additions
6. RENEWABLE ELECTRIC ENERGY OPTION
For each 600 kWh of electrical generation per housing unit provided annually by on-site
wind or solar equipment a 0.5 credit shall be allowed,up to 4.5 credits.Generation shall be
calculated as follows:
For solar electric systems,the design shall be demonstrated to meet this requirement using 0.5-4.5
the National Renewable Energy Laboratory calculator PVWATTs or alternative approved by
the code official. Documentation noting solar access shall be included on the plans.
6.1 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.
7.APPLIANCE PACKAGE OPTION
All the following appliances shall be new and installed in the dwelling unit and shall meet the
following standards:
1. Dishwasher,standard—Energy Star rated, Most Efficient 2021 or Dishwasher,compact— 0.5
Energy Star rated (Version 6.0)
7'1 2. Refrigerator(if provided)—Energy Star rated(Version 5.1)
3.Washing machine(Residential)—Energy Star rated (Version 8.1)
4. Dryer—Energy Star rated,Most Efficient 2022
To qualify to claim this credit the building permit drawings shall specify the option being selected and
'shall show the appliance type and provide documentation of Energy Star compliance.At the time of
inspection,all appliances shall be installed and connected to utilities.Dryer ducts and exterior dryer vent
caps are not permitted to be installed in the dwelling unit.
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.
a. 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.
f. Supplementary heat for water heating shall be in accordance with Section R403.5.7
Prescriptive Path—Single Family 2021 Washington State Energy Code-R
Name o Parcel# 15' W BLD# pZ,O,;z 5-orooq
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 systei(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 Stornnvater 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 Stornnvater 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 prop for review d ins ection as may be required.
X -71/C Owner/Agent/Contractor(circle one)Date:
Page 2 of 2