HomeMy WebLinkAboutBLD2003-00624 Final SFR - BLD Permit / Conditions - 12/16/2003 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Pho : (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 le-"I CZ10
Shelton,WA 98584 Z-/e
Bolt
RESIDENTIAL BUILDING PERMIT BLD2003-00624
OWNER: SHANNON BELLOMY
CONTRACTOR: LICENSE: EXP: RECEIVED: 5/15/200303
ISSUED: 6/13/20
SITE ADDRESS: 174 NE FAFORD WY TAHUYA EXPIRES: 6/13/200
PARCEL NUMBER: 223307500010
LEGAL DESCRIPTION: TR 1 OF SURVEY 1/180
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Single Family Residence, Stock Plan #052803JRN
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: 3 Type of Constr.: V-N
Type of Use: SF Insp.Area: No.of Bathrooms: 3 Occ.Group: R-3, U-1 Lot Size: Deck: 132
Type of Work: NEW Fire Dist.: No.of Stories: 1 Occ. Load: Building:2,320 Garage-Attached 528
Valuation: Building Height: 17 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
SEPA?:
Model: Width: Ft. Rear: Ft. Slope: Ft. Shoreline Desi
Side 1: Ft. g"
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KKK 5/15/2003 $875.26 B12003
Hosebibs 2 Ventilation Fan 5 Planning Review Fee KKK 5/15/2003 $150.00 B12003
Kitchen Sink 1 Dryer Vent 1 EH Plan Review CEW 5/23/2003 $75.00 S22003
Laundry Tray 1 Adjust Plan Check Fee JRN 5/28/2003 $14.56 S22003
Lavatories 4 Building State Fee JRN 5/28/2003 $4.50 522003
Showers 1 Building Permit Fee JRN 5/28/2003$1,368.95 S22003
Water Closets (Toilets) 3 Mechanical Fee JRN 5/28/2003 $54.15 S22003
Water Heaters 1 Mechanical Base Fee JRN 5/28/2003 $23.50 522003
Bath Tubs 3 Plumbing Base Fee JRN 5/28/2003 $20.00 522003
Clothes Washer 1 Plumbing Fee JRN 5/28/2003 $112.00 S22003
Total $2,697.92
BLD2003-00624 Please referto the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
" BLD2003-00624
CONDITIONS FOR
BLD2003-00624
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 potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-098 The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) 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 priAto any further inspections being performed or approvals granted.
3) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located in such a position as to be plainly visible and
legible from the street or road fronting the property. Mason County Building Department requires that this be completed prior to calling for any site
Inspections. A re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
X ntractQ_ fail post the address on site prior to requesting inspections.
4) The plan review check list and corrections, along with the Energy Compliance Worksheet(when applicable) 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 responsible to retain the complete approved set of
plans gp site for the duration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections.
X.
5) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X__v ►'��
6) The"approved"plot plan is required to be on-site for inspection purposes. If an inspection is requested and the "approved" plot 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 prior to any further inspections being performed or approvals granted.
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7) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County
and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would
result in permit revocation.
X
BLD2003-00624 Please referto the following pages for conditions of this permit. 2 of 3
8) Proposed structure or portions thereof with an projection over 30" in height from grade line, must maintain a 5'separation distance between adjacent
structures and that furthest projection.X AV,
9) All changes to"approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
Xr regulation, must be reviewed and approved by Mason County prior to construction.
10) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall be made prior to requesting additional inspections.
X �
11) All property lines shall be clearly identified at the time of foundation inspection. X_,
12) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason aunty gr�dinances and building regulations.
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13) 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
holder tiave ented action from being taken. No more than one extension may be granted.
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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 anytime after work is
commenced. Evidence of cgDtinuation of work is a progress in pec' within the 180 day period. Final inspection must be approved before building can be occupied.
OWNER OR AGENMo\_ 14 DATE: 13
BLD2003-00624 Please referto the following pages for conditions of this permit. 3 of 3
o
o CONCRETE MECHAlYICAL MANUFACTURED HOME
0
G' Footings / Setbacks Date & l0 d3 B y LS Ribbons
C
0 Date By Gas Piping Date By
N
Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors ���� Final
Date By Date 1,.5 ---:Ay Date By
FRAMI G Walls Vj FIRE DEPT
Date p By �,S Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By —
Date By FINAL INSPECTION
Water Line Date /L — B y
Date b Byao Date By
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BELfAgk Orrk.; Plot Map Drawn To Meet
HiLine Homes Specifications.
Any Revisions To Be Made
By The Home Owner.
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/VIAQ Compliance Application
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Owner: can„,�o„L ���, �1�4u,y Telephone:36d- Parcel#:
Type of project New Residence ( ) Addition ( ) Remodel
Total Sq. Ft. 1 S Floor :-2 3 Zo 2n floor: _ Heated Basement:
of heated area:: �3 `-
Heating System:
Glazing � Prescriptive Option see reverse side circle one: 1 II Ilk
Percentage: Compliance
Method O Component Performance , Chapter 5— Calculation worksheets required
Check one::
O Systems analysis, Chapter 4
* Whole House Ventilation system O Whole House Ventilation using a Heat
Ventilation using exhaust fans&window or wall fresh air
Recovery Ventilation System (VIAQ 303.4.4)
System vents (VIAQ 303.4.1)
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:A
f Qv
S-r S Z
(..r y
3k3 I `
Z 6X S— Z 2.5
6k6 `a i If
K k s t zo
Windows: Total Sq. ft. � s3
Doors:
Doors: Total Sq. Ft
Total window and door area
Total window &door area 253 /(divided by)total sq. ft of heated area 7 3 ZO %of glazing
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Permit Assistance Center
SHELTON (360) 427-9670 BELFAIR (360)275-4467 SEATTLE (206)464-6968
ELMA(360)482-5269 FAx: (360) 427-7798 WEB SITE: www.co.mason.wa.us
P.O. Box 186, SHELTON 98584
2001 Washington State Energy Code (WSEC)
effective July 1, 2002
2000 Ventilation and Indoor Air Quality Code (VIAQ)
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. Complete the window and door schedule on the reverse side. Include all windows, skylights,
sliding glass doors, french doors and any door that is more than 50% glass. Use rough opening
dimensions of the windows and doors. Information about the U-factor of the window will also help
to expedite the energy code review. If you are complying with the WSEC by prescriptive path and
are using the area weighted average method you must include your calculations.
3. On your building plans note the location and fuel type of water heater, location of exhaust fans
(bathroom, laundry, kitchen, etc.) and R-factor of insulation proposed for walls, floors, ceilings and
slabs,
4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 284. Additional
WSEC and VIAQ compliance information is available on the internet at:
www.energy.wsu.edu/buildings/
Prescriptive Requirements °,'for Group R Occupancy
Climate Zone 1, Table 6-1
Glazing Glazing U-factor Wall Wall Wall
Area %of Door Ceiling Vaulted Above interior° exterior Slab
4
Option Floor oor „ U- s 2 Ceiling3 Grade below 4 Below Floors on
Vertical Overhead Factor 12 grade Grade Grade
I 12% .35 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10
if* 15%* .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
III Unlimited
Single .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
Family Res
(R-3)Only
*Reference Case/Call (360)427-9670 ext. 284 for footnote information. Log&solid timber wall with a min. avg.thickness of 3.5"are
exempt from the above grade wall insulation requirements.
FORM MUST BE COMPLETED IN INK PERMIT NO. BLD O O
PLEASE PRESS HARD MASON COUNTY o(D -
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 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner P--16 , - Contractor Name
Mailing Address 1-7o Ne tgf6evA way Mailing Address I�Z�e t,yoonllc.,d ,q,,,� r✓•
city_Tiabwva State W.& Zip Ccde 9,DS88 City P�ydllvrp State WR Zip Code 9B323
Phone bo 2,,7s-St;7-7-
Other Ph.( Ph. zr 8Yo-rBY1) Other Ph.c
Lien/Title Holder Contractor Reg. # I+S�ZM H-+�y 133QD
Address Expiration I ► /�/ 03
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic X Existing Septic Connect to Sewer
System Name of Sewer System Well ir Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcelf No. L z"�3 0 / �S / oao !a Fire District
Legal Description S e-e ci.�-E �a cj.-)e d.
Site Address(Please include street name, street nurnber and city) N F ,cA fZ".A -ws
Directio s to site C-m--- attq CJ1 e- a Ne r + 5 h r 17 e - r r4 kt
cL 1 Z r ke-
I'
Will Id in parcel prepara ion? (Yes/No) <<k e I r� .L i s l y
Is your property within G' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE& SEASONAL RESIDENCE❑
TYPE OF JOB Newer Add Alt Repair Other Use of Building SFog
Describe Work Cabs+-,-k u., of a sxe
No. of Bedrooms 3 No. of Bathrooms 2-'(3 SQUARE FOOTAGE-1st Floor Z329 2nd Floor
3rd Floor -- Lott — Basement Deck -- Other sq. ft.
Gara9eS28 Attached_,.�--Detached Carpolt Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Install ame Certification No.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
apppr�o�v"al, y��� n ^^M 11�r� tirst obtain, approval.
)�;►`u-�lI lu r l
_ Cate ;" - Z-Cj X e�oX l�Cy Date LZ a3
FOR OFFICIAL_ USE BEYOND THIS POINT
Accepted b 1- 'I'-) S / S `{ yDate 'T ubmilta; Amount Cue I r C Receipt No. 2 C<
DEPARTMENTAL REVIEW APPROVED DENIED CON IT1ON CODES
Building Department 06•ca�
Occ Grou Tvpe Constr. 0
Planning De ment
i
Environmental Health Department
I_
Public Works Department i
Fire Marshal
i
1 J 1(iU3
Valuation $ ( o
. -FAIR OFFICE
FEES
Building Permit Fee ��5 Site Inspection
i
Plan Review Fee �' EN Review Fee
Plumbing&Base Fee 1 t�'"d , 0, �'v PlanningReview Fee
9�•ac�l `� �t — �
Mechanical&Base Fee 9 I t Gv Cther
Wood/Gas/Pellet Stove Fee State Fee L
Violation Fee Pre-Paid at Submittal t
TOTAL FEES
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
Shelto 464-696
n 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 8
APPLICANT INFORMATION CONTRACTOR INFORMATION L
Owner_ +t Contractor Name F�ow,cs
Mailing Address 1?b Ne- Fa Way Mailing Address�Z►o wood I�Kd / 6.
City �� State WA Zip Code 4$5$h _ City_ - tlu State l„4 Zip Code 983�3
Phone 3` Z�f-rc�zz Other Ph.(_) Ph.( 2s3 ) sYo-1ay9 Other Ph.(
Lien/Title Holder Contractor Reg. # NsL �►F1 4azg�
Address Expiration 11 / a' / o3
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION- 12 digit Tax Parcel No. 2 Z33 0 / 7S / o.o a r a Fire District
�► Legal Description 6 c;c 0--ttc, (-k k-
Site Address(Please include street name,street number and city) 7 N (--,4(�r,� .VJ
Directions to site
Is your property within 200'of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream
Slopes or Bluffs
TYPE OF JOB Newer Add Alt Repair Other Use of Building S FR
Location of Fixtures/Units 1st Floor 237-o 2nd Floor Basement Garage 5'28 Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink y Furnace
Bath Tubs 3 . Heatpumps
Showers Spot Vent Fang
Water Heater ! Propane Tank
Clothes Washer f Gas Outlets
Kitchen Sinks If Wood/Gas/Pellet Stove
Dishwasher I Kitchen Exhaust Hood r
Hosebibs Dryer Vent
Other Lwrw).'`,c Other
�- Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be don in conformance ther ith. No changes shall be made without
approval. first obtai approval.
4�
L76
ate 5-2- a 3 X `'" Date LL 03
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL'REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
FEES
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical 8 Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal
Violation Fee TOTAL FEES