HomeMy WebLinkAboutBLD2011-00547 Final SFR - BLD Permit / Conditions - 12/7/2011 4 Inspection Line(360)427-7262
IPMASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton, WA 98584
,
\� RESIDENTIAL BUILDING PERMIT BLD2011-00547
OWNER: ' MUELER &TOLBERT RECEIVED: 7/5/2011
CONTRACTOR: STEPHEN JOHNSON, INC 1.360.275.6734 LICENSE: STEPHJ"199LW EXP: 6/16/2012 ISSUED: 8/9/2011
SITE ADDRESS: 1741 NE TAHUYA BLACKSMITH RD TAHUYA EXPIRES: 2/9/2012
PARCEL NUMBER: 223305000233
LEGAL DESCRIPTION: HAVEN LAKE TR. 233
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
RESIDENCE ST RT 3 TO BELFAIR, L ON ST RT 300/NORTH SHORE RD, R BELFAIR
TAHUYA RD, R ON TAHUYA BLACKSMITH RD TO SITE ON THE LEFT SIDE
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3/U Lot Size: Deck:
Type of Work: NEW Fire Dist.: 8 No. of Stories: 1 Occ. Load: Building:1,438 Garage-Attached 768
Valuation: $ 179,788.94 Building Height: 18 Occ. Status: Primary Basement: COV PORCH 242
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: E 40.0 Ft. Shoreline: Ft. Water Body:
Rear: W 190.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: S 10.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: N 15.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 2 Furnace<100K 1 Plan Check Fee TW 7/5/2011 $937.14 S120110001
Lavatories 2 Heat Pump 1 Planning Review Fee TW 7/5/2011 $205.00 S120110001
Bath Tubs 2 Ventilation Fan 3 EH Plan Review MRB 7/5/2011 $103.00 S62011000i
Water Heaters 1 Propane Tank 1 Water Adequacy Plan Review MRB 7/5/2011 $103.00 S620110001
Clothes Washer 1 Gas Outlets 1 Building State Fee LDK 7/28/2011 $4.50 S120110001
Kitchen Sink 1 Propane Stove 1 Building Permit Fee LDK 7/28/2011 $1,441.75 S120110001
Dishwasher 1 Dryer Vent 1 Mechanical Permit Fee LDK 7/28/2011 $237.90 S120110001
Hosebibs 2 Exhaust Hood 1 Mechanical Base Fee LDK 7/28/2011 $28.50 S120110001
Plumbing Permit Fee LDK 7/28/2011 $93.20 S120110001
Plumbing Base Fee LDK 7/28/2011 $24.70 S120110001
Total $3,178.69
BLD2011-00547 Please refer to the following pages for conditions of this permit. Page 1 of 7
CASE NOTES FOR
BLD2011-00547
CONDITIONS FOR
BLD2011-00547
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potenJ411 risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647- .TI a person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
2) Owner/Agent i esp Bible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
X
3) Approved per dirk sions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
4) Temporary erosion control measures must be implemented to prevent water quality degradation of adjagOTnTwaters or properties. Silt fencing, straw, or
jute matting must be installed and maintained until upland vegetation has become established. X
5) Prior to final approval, all upland areas disturbed or newly create struction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
6) All construction and demolition debris must be removed fro site after project completion. Proper disW-s-aTqf construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X
7) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Approved Site Plan"to a hese structures are shown and meet the setback conditions listed.
X
8) By definition, propane tan s and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these structures meet th back conditions listed.
X -$- ) -
61-1
BLD2011-00547 Please refer to the following pages for conditions of this permit. Page 2 of 7
9) A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement,
inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the
owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel
prior to the commencement of any development activities. *NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater
Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes
an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are
responsible for contacting Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic
system of this, or any other, parcel. You may also wish to consult with the tic design professional involved with the project. By calling for a final
inspection of the building permit the owner/agent/contractor is acknowle in at all components of the stormwater management system have been
installed as approved on the stormwater site plan. X
10) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will
not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Department prior to any fufthfr inspections being performed or approvals granted.
X
11) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the
corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
Official. The permit holder is respgnsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
removal of approved docume wil result in failure of required building inspections.
X
12) All slabs within the heated space shall be insulated to a minimum r at least 24". Monolithic slabs shall be insulated around the perimeter from the
top of the slab to the bottom of the footing X
13) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. XL
14) The "approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site plan is not on site, then
approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building Department p r o any further inspections being performed or approvals granted.
X
15) Washington Stater—n-e- Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option III, Window(Max U-Factor):0.30, Skylight(Max U-Factor):0.50, Doors
(Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38 advanced or R-49 standard, Vault Insulation R-38,
and Slab Insulation R-10.
In addition the following c rom Table 9-1 shall be completed: 6
X
BLD2011-00547 Please refer to the following pages for conditions of this permit. Page 3 of 7
16) A permanent certificate, completed by the builder or registered design professional, shall be posted within three feet of the electrical distribution panel.
The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab, basement wall, crawlspace wall
and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration, and the solar heat gain coefficient(SHGC) of fenestration. Where there
is more than one value for each component, the certificate shall list the value covering the largest area. The certificate shall list the type and efficiency of
heating, cooling, and service water heating equipment, duct leakage rates including test conditions as specified in WSEC Section 503.10.2, and air
leakage results if a blower door test was conducted.
Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 0.00030 Specific Leakage Area (SLA)
when tested with a blower door at a press of 50 Pascals (0.2 inch w.g.). Testing shall occur at any time after rough in and after installation of penetrations
of the building envelope, including penetrations for utilities, plumbing, electrical, ventilation, and combustion appliances and sealing thereof. The blower
door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is not required
for additions less than 750 square feet. Reference WSEC 105.4 Certificate and 502.4.5 Building Air Leakage Testing.
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2009 Certificate"and are available in X or'/2 sheets. The
Mason County Permit er will also have some available.
X
17) A minimum of 50 percent of all luminaires shall be high efficacy luminaries unless lighting compliance was approved using the options available in WSEC
Section 1520 or 1530. Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall
be high efficacy luminaries unless permanently installed outdoor luminaires are controlled by a motion sensor(s)with integral photocontrol photosensor or
installed in or around swimming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps).
Reference WSEC 505.
X
18) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
manufacturer's installatErManagement
ns.
X
19) A Mason County Sto Worksheet was completed and signed as part of this building permit application. Design, sizing, placement,
inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the
owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel
prior to the commencement of any development activities. "NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater
Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes
an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are
responsible for contacting Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic
system of this, or any other, parcel. You may also wish to consult with he septic design professional involved with the project. By calling for a final
inspection of the building permit the owner/agent/contractor is ack wle that all components of the stormwater management system have been
installed as approved on the stormwater site plan. X '
20) Owner/builder assumes all responsibility if drainfield/reserve ar4 s encumbered.
A. Drainfield/ Reserve requires a 1 Oft setback from all footing/foundations.
B. Septic tank(s) requires 5ft setback from all footing/foundations.
C. No foundation drai n 30ft, down gradient of drainfield/reserve area.
X
BLD2011-00547 Please refer to the following pages for conditions of this permit. Page 4 of 7
21 Concrete used for basement walls foundation walls, exterior walls porches, carport slabs h garage floor slabs and other
a s, a , p p , steps exposed to the weather, g g
vertical concrete work exposed to the eather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
X
22) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150' from an approved
access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such roads connect " county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
X
23) All construction st meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of Washington. Occ ancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revocation.
L
24) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the
stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further
information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may
affect your project.)
25) Placement of structure must mply with standards set forth per the international codes regarding descending and/or ascending slopes.
X
26) All changes to "appro " u7illdiDg plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or regulation, m e r wed and approved by Mason County prior to construction.
X
27) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international cod amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall be m prior questing additional inspections.
X
BLD2011-00547 Please refer to the following pages for conditions of this permit. Page 5 of 7
28) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks filled
on site must be located a minimum of 10' from any possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), mechanical system
air intake (direct vent appliance, ventilation air intake, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Propane
tanks less than 125 gallons must also be located a minimum of 5' from any building opening (foundation vents, windows, doors etc). Setback to the public
way, or access easements shall be the greater of 25-ft or as specified in the Mason County Development Regulations. Setback to property lines shall be
the greater of 5-ft or as specifAin the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective
bollards must be installed.
X
29) All propane tanks must nstalled in accordance with the International Fire Code and all applicable Mason County ordinances. All Propane tanks
between 125 and 500 gallons must be located a minimum of 10' from any building, possible source of ignition (electrical outlets, electrical fixtures,
compressors, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Setback to the public way, or access easements
shall be the greater of 25-ft or as specified in the Mason County Development Regulations. Setback to property lines shall be the greater of 10-ft or as
specified in the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective bollards must be
installed.
X
30) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must
meet the installation requireme an inimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks.
X
31) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the
time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall
not be used until the final inspecti as een performed and approved by a Mason County building inspector.
X
32) The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to
Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical areas (streams,
wetlands, slopes, etc.) If you think such featuresAw4qLoff or nearby your property, please contact the Planning Department so that exact setback
requirements can be determined. X
33) All property lines shall be clearly identified at the time of foundation inspection. X
34) All building permits shall have a final inspection performed and approved by the Mason County wilding Department prior to permit expiration. The failure
to request a final inspection or approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County ordinances 41
ding regulations.
Xf
35) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
(older have prevented action g taken. No more than one extension may be granted.
36) Pressure treated wood ma �ac/tured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, and flashing. In tal connectors approved for contact with the new types of pressure treated material.
X
BLD2011-00547 Please refer to the following pages for conditions of this permit. Page 6 of 7
37) Retaining walls needed to support a surcharge ch a s ctures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any
time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of continuation of work is by of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants a Mas o ty ac ss to t abo described property and structure for revi w an I inspection.
OWNER R AGENT: DATE:
BLD2011-00547 Please refer to the following pages for conditions of this permit. Page 7 of 7
o CONCRE MECHANICAL MANUFACTURED HOME c
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Footing Setb s Gas Piping BYE-- Ribbons r
oInterior Da By interior-Date 1c_Y13_11 By K bate ay M
VExterior Date 6 , �BY Exterior-Date B Set-up
Point Load!Isolated Footings INSULATION Date By 0
Bate By BG 1 SLAB INSULATION - --
Data 13 FIRE DEPARTMENT pip
Foundation Walls Floors Date By M
Date y,. Data By DECKS
FRAMING 7 Walls Date By
pafp d By Data / By PROPANE TANKS
PLUMBING vault Datc"I By
Date lay OTHER
Groundwork Attic
Date By Type-
Date By Date By
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Int Brace Wall Date By, W
_13 Date 10— . By _2 1
m Date 8 FINAL INSPECTION
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Date 13Y Date By
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Building Permit # ' MASON COUNTY "
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location I 7'/i /8
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
ound: Items Listed below must be corrected to gain code compliance
�G
..
yT � d mow ?
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Department BLS
Date Inspector
moos � K � T ' u
N �T '� M V T 1 �
Building Permit'# MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTI E
Job Location h -La 9 c
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
C"�'C_����___�C��i�/"J'�` ,.4-r C ��C� �/C ,�Sc� X/:- C L� �✓��X7r
3)
4
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
-4 OK to e-,,- , v L Z/ e i
❑ This is not a co ete inspection
Department Ll
Date `/1 Inspector ,a C4
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PLANNING .
ALL SETBACKS ARE MEASURED
FROM THE FURTHEST 0'�1
PROJECTION OF THE BUILDING
07
PLANNING
gel�
APPROVED
MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE
CHANGES UBJET TO APPROVAL
By pate�u (._Zv C( t�l�c,.�:��+►�� �c� o,,� h
Name c.�,�¢ �4e r ITOIIXd Parcel# ZZ-3 o-0 b 0 2.33 BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14, Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website:
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).—K 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/d rain field 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 ac owl ge at the information provided is accurate and employees of Mason County are granted access to the above-
descr' a op for view and inspection as may be required.
X Owner/Age ontractor ircle one)Date:
Page 2 of 2
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 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 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
X _ above table
Patios/Walks X =
X = Any paved, gravel or packed area per definition
above table
X =
Others X =
X = If the total impervious area of the proposed site
X = 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
MASON COUNUwrW
SNTIAL PLANS SUBMITTAL CHECKLIST
L ( Reviewed BOwner's Name: � �/V'f Dater�I � Y
Documents:
Building Permit Application Completed --kStormwater Checklist
Planning Intake Checklist Completed,
Site plan includes: Allowable building area,roof overhangs,decks,etc.
Fire Apparatus Access Road info required? Yes/No
Energy Code Application Form-O Electric wall heater O Electric central furnace O LPG Furnace
®Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type )
O Other: Specify:
_Mechanical/Plumbing Application-WATER HEATER FUEL TYPE/LOCATION
Engineering? Yes/No Snow load: Seismic:
Stock Plan—approved snow load: Seismic:
Manufactured Domes—4 FLOOR PLANS
Foundation Type: ANSI/Manufacture method Engineered footing/foundation Basement
Decks: Covered? Uncovered over 4 x 6 and over 30"? Construction plans required.
Construction Plans:_3 COMPLETE SETS
_Plans Legible _Recognized Scale _Elevation Views _Cross Section
_Foundation Plan _Roof Framing Plan _Floor Plan-Use of rooms noted(all floors)
_Floor Framing Plan-all floor levels including loft,crawlspace,etc. (<200 S.F. ??—stairs?)
Deck Framing Plan,incl cov.porch framing
Plan Details: r�
Roof framing details,truss lay-out may be needed (Hip and girder location shown) f�
Wall Framing-Does bearing-wall height exceed 10'?(Engineering maybe required) Z_X & l(e_rj
�i Floor framing: Floor joists(size&spacing): ,Floor beams:
�( Window headers. Typical header. _ 12./ Garage header: l X
Foundation: footing size,reinforcement ` X 2�
v Concrete Walls-Does Concrete Wall Height Exceed 8'?(Engineering may be required, see details)
—4 Landings at all exits?Less than 30"above grade?Y/N
Heated By Furnace-Location of Furnace (�01 g=iggg, Fuel type:
�Fireplace/Stove Information Shown-Fuel Type?Tp� Locatzon(s): (il V 1 `
JK Window Sizes Marked on Plans
Braced wall panels(shear walls)marked on plans or lateral engineering?
X 2-story garage? (Engineering may be required) I'story of two story D1—45%,D2—55%
COMMENTS:
ENGINEERING REQUIRED
Braced wall panels/brace wall lines are not marked on plans(R602.10)
Amount and location of bracing does not meet minimum required in Table R602.10.1
DESIGN CRITERIA: All notes and details required as a result of the engineered analysis shall be transferred onto proposed
building plans. Wind 85 MPH, Exposure B(unless proven otherwise). Seismic Zone: Snow_psf.
IRREGULAR BUILDINGS R301.2.2.2.2
Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be
considered to be irregular when one or more of the following conditions occur:
1)Exterior braced wall line or BWP cantilevered or offset by more than 4'
2)Roof or floor is not laterally supported on all edges
2A)Portion of roof or floor extend more than 6 ft.beyond the braced wall line.
3)End of BWP extends more than 1 ft over an opening more than 8 ft in width below.
4)Opening in a floor or roof exceed the lesser of 12 ft.or 50%of the least floor or roof dimension.
5)Portions of floor level are offset vertically
6)Shear wall lines do not occur in two perpendicular directions.
7)When a story above grade is includes masonry or concrete construction(exc: fireplaces, chimneys,and veneer).
When this applies the entire story shall be designed.In accordance with accepted engineering practice.
H:\permit tech building checklist.doc Revised 11-29-2007
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/VIAQ Compliance Application
Owner: p �—r- Telephone: �c Z Parcelk 2-Z `,3 n _5'6Q�
Type of project New Residence ( )Addition ( ) Remodel
Total Sq. Ft. 1 sFloor, ---Pnd floor: Heated Basement:
of heated area:: 1 `4 J
Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace
Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type:
O Other: Specify
Glazing O Prescriptive Option see reverse side circle one: 1 II IV
Percentage: Compliance
Method O Component Performance , Chapter 5— Calculation worksheets required
r 3 % Check one::
t O Systems analysis, Chapter 4
Whole House Ventilation system O Whole House Ventilation using a Heat
Ventilation si exhaust fans&window or wall fresh air
S Stem vents (VIAQ 303.4.1) Recovery Ventilation System (VI.4Q 303.4.4)
Y
Check one
O Whole House Ventilation Integrated O Whole House Ventilation using an inline
with a Forced Air System (VIAQ 303.4.2) supply fan. VIAQ 303.4.3)
Window & Door Schedule (If needed, attach an additional sheet)
Total
Manufacturer Room/location U-Factor Size Quantity Square Feet
Windows:
l
b l
a
L
dz 3 Y° y6 Z 32_
Windows: Total Sq. ft.
Doors:
7, - 01
Doors: Total Sq. Ft
Total window and door area `
Total window & door area L /(divided by)total sq. ft of heated area I q--3 13` ! _%of glazing
I
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Permit Assistance Center
SHELTON (360) 427-9670 BELFAIR(360)275-4467 Elma (360)482-5269
FAx: (360)427-7798 WEB SITE: www.co.mason.wa.us
P.O. Box 186, SHELTON 98584
2006 Washington State Energy Code (WSEC)
2006 Ventilation and Indoor Air Quality Code (VIAQ)
Effective July 1, 2007
Code Compliance Application Form
The following information will be required for the WSEC and VIAQ plan review:
1. Complete the Washington State Energy Code/Ventilation and Indoor Air Quality Code (WSECNIAQ)
application located on the reverse side.
2. The window and door schedule should include all windows, skylights, sliding glass doors, french doors and
any other door with 50% glass or more. Use rough opening dimensions of windows and doors to calculate
size. It is always helpful to list the u-factors of windows and doors, if known. If you do not know u-factors,
the plan reviewer will assume all window & door glazing will have a u-factor of.35 or less. When using the
area weighted average method to comply with the prescriptive path include calculations with submittal
documents.
3. On your building plans note the location and fuel type of heating system, water heater, location of exhaust
fans (bathroom, laundry, kitchen, etc.) and R-factor of proposed insulation for walls, floors, ceilings, and
slabs. Outdoor lighting, permanently mounted to a residential building or to other buildings on the
same lot shall be high efficacy luminaires or motion sensor with integral photocontrol photosensor.
All linear fluorescent fixtures must be fitted with T-8 or smaller lamps, but not T-10 or T-12 lamps.
To verify compliance, provide lighting information on plans.
4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 352. Additional WSEC
and VIAQ compliance information is also available on the WSU-Energy Program website at:
http✓/www.energy,wsu.edu/codel
Prescriptive Requirements " for Group R Occupancy
Climate Zone 1, Table 6-1
Glazing Glazing U-factor Vaulted Wall Wall Wall
Area%of Door Ceiling Ceiling3 Above interior exterior Slab 6
Option Floor overhead Ll s 2 see note Grade 4 below 4 Below Floor 5 on
tp Vertical Ohead Factor below 12
grade Grade Grade
I 10% .32 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10
II* 15%* .35 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
IV Unlimited
Single
Family Res •35 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
(R-3)Only
*Reference Case/Call (360)427-9670 ext.352 for footnote information. Log&solid timber wall with a min.avg.thickness of 3.5'are
exempt from the above grade wall insulation requirements.Vaulted ceilings shall be limited to 500 sq.ft.of ceiling area for any
one dwelling unit.
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. 2DI1-925 -U
PLEASE PRESS HARD BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Evi U✓1� e l 1�r i V- (C' 1 r,`t Company Name
Mail' Address 03 � o� o�� Mailin Ad ess �e x
City g 'I se s State�Zip Code 3 City 1 State Zip Code
Phones ���'��c1 c 1� Other Ph. Phone e36� Z�S �a73 � Other Ph.
Lien/Title Holder Contractor Reg. L LIL"Exp. 9Z
E mail address E Mail Address �e z .5��1',7 C • y--
Drivers Lic. # DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic X Existing Septic
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORMATION.- 12 Digit Parcel No. 2z- 3 C� Fire District
Legal Description � a Z
Site Address (Please include street name, street number and city) �5— cti 0< u, x
J
Directions to site
Will timber be cut and sold in parcel preparation?Ye No
Is property within 200' of Saltwater Lake River/ Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - ew Add Alt Repair Other PRIMARY RESIDENCE X SEASONAL ❑
Use of Building leS T E escribe Work
No. of Bedrooms No. of Bathrooms Z Square Footage- 1st Floor —2nd Floor
3rd Floor—Basement Deck Covered Deck 2 L R'— Other Sq. ft.
Garage Attached Detached -Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit? Yes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative, or the contractor. I further declare
n o the work as proposed in the application. I declare that I have obtained the permission from all
that I am entitled to receive this permit and to d p P PP
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure for review and inspection.This permit/application becomes null & void if work or authorized construction is
not commenced wit ' 180 days or if construction work is suspended for a period of 180 days. PROOF OF PONTINUATION OF WORK IS BY
MEANS AO RES NSP CTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180,DAYS WILL INVALIDATE THE APPLICATION.
X �� Date �T�h
caner/Ow Representativ /Contractor (indicate which one)
FOR OFFICIAL USE BEYOND T POINT Accepted by: V Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
� l]
FORM MUST BE COMPLETED IN INK PERMIT NO.
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar- P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INF_QRMATION
Owner �'--t vl 01 LA"_ I/F✓' ,S`� r y��� Company Name �e i��.-, C 6 6iq'i ta-, T-�►1L,
Mailing Address Maili"�Ad ress � c,
City State Zip Code tate Zip Code
Phone Other Ph. Phone 3 6 c C>73 V Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. 7-Z-33 6 _5-0 0 U Fire District
Legal Description
Site Address (Please include street name, street number and city)
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building
Location of Fixtures/Units - 1st Floor. 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNJTS
Type of Fixture No. of Fixtures Fees Fuel Type:Electrir_ LPG— Natural Gas_ Heat Pump_
Toilets 2 Type of Unit No. of Units Fees
Bathroom Sink — - Furnace
Bath Tubs Heatpumps f
Showers Spot Vent Fan 4
Water Heater r Propane Tank
Clothes Washer Gas Ou ets /
Kithen Sinks Woo a Pellet Stove
Dishwasher Kitchen Exhaust Hood �—
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained j
permission from them to ap I for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is a rat n ran s ployees of Mason County access to the above described property and structure for review and inspection.
PROOF O CO U TION OF OR JS BY MEANS OF A PROGRESS INSPECTION.
X Date: j
ner/Owners Re sentati ontractor (indicate which one)
I
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—Type Constr.-1� lr�l
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES