HomeMy WebLinkAboutBLD2011-00616 Cancelled SFR - BLD Permit / Conditions - 8/30/2011 ` ~ Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COhUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
solo Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2011-00616
OWNER: GRIFFITH GARCIA RECEIVED: 7/25/2011
CONTRACTOR: HILINE HOMES 253-840-1849 LICENSE: HILINH*981BT EXP: 2/10/2012 ISSUED: 9/7/2011
SITE ADDRESS: 80 NE RAINTREE LN TAHUYA EXPIRES: 3/7/2012
PARCEL NUMBER: 223315200026
LEGAL DESCRIPTION: COLLINS LAKE#3 TR 26
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW SFR (HILINE HOME) ST RT 3 TO BELFAI L ON ST RT 300/NORTH SHORE RD, R ON BELFAIR
TAHUYA, R ON COL S LAKE DR,`RON RAINTREE LN TO SITE ADDRESS
ON THE RIGHT SID L
General Information Construction&Occupan Info m tion Square Footage Information
No. of Bedrooms: 2 Type ons r.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 2 O ro R- Lot Size: Deck: 320
Type of Work: NEW Fire Dist.: 2 No. of Stories: 2 O c. Loa Building:936 Garage-Attached 936
Valuation: $ 145,4 .9 Building Height: 27 Oc tatus Sea Basement:
Manufactured Hom Informati n Set a In o ma ti Shoreline& Planning Information
Make: L ngth: Fron : 100. Ft. S ore Ine: 100.0 Ft. Water Body: COLLINS LAKE
SEPA?:
Rea . 00.0 t. Slope: Ft. g.: Urban
Model: idth: Ft. ide : 5 0 Shoreline Desi
Year: Seri No.: ide : 1 .0 Ft. Comp. Plan Desig.: Rural
Plumbing Fi tures 11JMechanical Fixtures FEES
Type Qty.- Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 2 Furnace<100K 1 Plan Check Fee GMM 7/25/2011 $813.38 S1 201 1 0001
Lavatories Ventilation Fan 3 Planning Review Fee GMM 7/25/2011 $205.00 S1 201 1 0001
Bath Tubs 1 Dryer Vent 1 EH Plan Review KKK 7/25/2011 $103.00 S620110001
Showers 1 Exhaust Hood 1 Building State Fee LDK 8/30/2011 $4.50 S1 201 1 0001
Water Heaters 1 Building Permit Fee LDK 8/30/2011 $1,251.35 S1 201 1 0001
Clothes Washer 1 Mechanical Permit Fee LDK 8/30/2011 $67.50 S120110001
Kitchen Sink 1 Mechanical Base Fee LDK 8/30/2011 $28.50 S120110001
Dishwasher 1 Plumbing Permit Fee LDK 8/30/2011 $93.20 S120110001
Hosebibs 2 Plumbing Base Fee LDK 8/30/2011 $24.70 S1 201 1 0001
Total $2,591.13
BLD2011-00616 Please refer to the following pages for conditions of this permit. Page 1 of 6
CASE NOTES FOR
BLD2011-00616
CONDITIONS FOR
BLD2011-00616
1) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. Northwest corner of
residence is is 3 feet forward from north edge of septic tank; northeast corner of residence is is in line with heat pump of residence to the east. Deck on
plan sliqll of be more than 5 feet towards the edge of Collins Lake.
X
2) All construction and demolition debris must be removed from the site after project completion. Proper di s o I o construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X
3) Prior to final approval, all upland areas disturbed or newly ea ed y construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X /
4) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent yr� s or wetlands. Silt fencing, straw or jute
matting must be installed and maintained until upland vegetation has become established. X �/f/
5) 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 septic design professional involved with the project. By calling for a final
inspection of the building permit the owner/agent/contractdging that all components of the stormwater management system have been
installed as approved on the stormwater site plan. X
6) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"App7 Plan"to ensure these structures are shown and meet the setback conditions listed.
7) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these structures meet the setback conditions listed.
X
BLD2011-00616 Please refer to the following pages for conditions of this permit. Page 2 of 6
8) Owner/builder assumes all responsibility if drainfield/reserve area is 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. NoV�_t_io
n drains within 30ft, down gradient of drainfield/reserve area.
X 1
9) 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.
X {i�
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
DepartmePt�r r to any further inspections being performed or approvals granted.
X /lj;�
T—'
11) Owner/Ag i responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
X a/
12) 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 responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
remova ved documents will result in failure of required building inspections.
X A�
13) All slabs within the heated space shall be insulated um R-10 for at least 24". Monolithic slabs shall be insulated around the perimeter from the
top of the slab to the bottom of the footing
14) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X ✓/!
15) 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 De nt nor to any further inspections being performed or approvals granted.
X
16) Washington State Energy 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 credit from Table 9-1 shall be completed: 6
X
BLD2011-00616 Please refer to the following pages for conditions of this permit. Page 3 of 6
1
17) 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 %or'/2 sheets. The
Mason County Permit Center will also have some available.
X i
18) 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).
Referenc 505.
X
19) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
manufacturer's installation instructions.
X ZI?E
20) 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 septic design professional involved with the project. By calling for a final
inspection of the building permit the owner/agent/cont rac c nowledging that all components of the stormwater management system have been
installed as approved on the stormwater site plan. X
21) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
X i
BLD2011-00616 Please refer to the following pages for conditions of this permit. Page 4 of 6
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
X such roads con t with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
i
23) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building
Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached
thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be
charged an ollected by the Building Department prior to any further inspections being performed or approvals granted.
X
24) All construction must meet or exceed all local ordinances and the international codes 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 revocat
X
25) 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 proje t
X
26) Placement of a must comply with standards set forth per the international codes regarding descending and/or ascending slopes.
X
27) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinanceL=✓ � must be reviewed and approved by Mason County prior to construction.
X
28) 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 codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector �ade prior to requesting additional inspections.
X
29) All property lines shall be clearly identified at the time of foundation inspection. X
30) 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
MasoryPty�inances and building regulations.
X 7 U ,
BLD2011-00616 Please refer to the following pages for conditions of this permit. Page 5 of 6
31)' 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 hh nted action from being taken. No more than one extension may be granted.
X
32) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors e? 'r
ng. Install metal connectors approved for contact with the new types of pressure treated material.
X
33) Retaining walls needed to support a surchy u as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X__2
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 means of a progress inspection.The owner or the agent on the 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.
OWNER OR AGENT: � �—'L DATE: J
BLD2011-00616 Please refer to the following pages for conditions of this permit. Page 6 of 6
,m
o t CONCRETE MECHANICAL MANUFACTURED HOME �
0
Footings I Setbacks Data By Ribbons
Gas Piping
o InteriorDa:te By Interior-Date By Date 8y
0
o Exteriar-Date By Exterior-Date By Set-up
Point Load J Isolated Footings INSULA71ON mate By
Date By SG I SLAS INSULATION �{
Data By FIRE DEPARTMENT
Foundation Walls Floors Date By .�
Date By Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS �
PLUMBING Da art t3 Data SY
y OTHER
Gr+au�,dwo►tc Attic �.
Date g Date By Type;
y Date By
D.W:v DRYWALL T'ypa=
Int,Brace Wall Data B,
Date g y, Data Sy
-0 FINAL INSPECTION
2 Water Line Fire Seperation
2 Date ay Date By Data By
Pass or Request Inspect.
Type of Insp. Fail Cate Date Done By Comments
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Gas Piping
o Interior Date By Interior-Date By Date By
CD
Exterior Date (/ / B Exterior-Rate By Sot-up 0
INSULATION X
Point Load J Isolated Footings Date By -n
Date By Data SLAB INSULATION By FIRE DEPARTMENT «
Foundation WallaCe)�o Floors Date By =
Date I,e - ByM Data _ By DECKS
FRAMING Watts Date By
Date ,111
'L By VIf")y Data By PROPANE TANKS
PLU BING vault Date By
Date By OTHER
Groundwork Attic
Date P By Type
T Date By Data BY
DRYWALL Type.
i� Int Brace Wall Date By IOU✓
� Date 3 � By 1 Date By r
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FINAL INSPECTION O
Water Line Fire Separation C
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Type of Insp. Fail Date Date Done By Comments 0)
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MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location go WE ka jnfree L,n
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 compliance
Y Y QY)5 AND 1 (U'1
ie ,
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 ❑ please contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
❑ OK to damage incurred by recent
"natural/man made"
❑This is not a omplete inspection disasters.This is NOT
Date / Department BLJ)& CORRECTION NOTICE.
Inspector D&.be-y-zL Coj�,-'
n* z� N* 14T , ' i-19 44 ' T, 10 , T`_0
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WPermit # ,
MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTI E
Job Location E/I -
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
&F,7—
4 - -
/ice of GO O�/,L f
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
Date Z Inspector 77?
moos NOOT F1 MOOV T 1 T, " ,�
r
Permit#-• l/-�/Q MASON COUNTY
BUILDING III 426 W CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location
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 compliance _
f�
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7 NJ
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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 please contact our office
Make corrections, items will be checked on next inspection regarding possible structural
OK to damage incurred by recent
11natural1man made"
5]This is not a complete inspection disasters.This is NOT a
CORRECTION NOTICE.
Date 1 �' -7 _ // Department �-, �_��'
Inspector
1010 Nk ,#T i Mk ,#V ' T 1 " T 0
Permit#_4L—l 616 MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location �4 Ln L
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 compliance
C�
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Yol ire ier by noified that t e above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WOR_
❑ Call for re-inspection when corrections are made before continuing ❑ pease contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
4 OK to�C c damage incurred by recent
"natural/man made"
❑This is not a c mplete ins ection S- disasters.This is NOT a
--_�-� CORRECTION NOTICE.
Date Department
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o v iff JuT , ', iill* ,#V ' TH/ , T-,
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RECEIVED
JUL 2 8 2011
426 W. CEDAR ST.
....._........._....__..___._._.._......._........
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PLANNI
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ALL SETBACKS ARE MEASURED
I FROM THE FURTHEST
o PROJECTION OF THE BUILDING
APPROVED
MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE
CHANG S SUBJET TO APPROVAL
BY DaW d 'w IrC
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PS°N-STATFO� MASON COUNTY
C DEPARTMENT OF COMMUNITY DEVELOPMENT
4 O �
oA N z Planning Division
7 N Y ti P O Box 279, Shelton, WA 98584
�° (360)427-9670
1864
NOTIFICATION OF COMPLETENESS
August 08, 2011
GRIFFITH GARCIA
P O BOX 1296
GIG HARBOR WA 98335
Parcel No.: 223315200026
Project Description: NEW SFR (HILINE HOME)
Dear Applicant:
You have submitted a permit application (case no. BLD2011-00616) for proposed construction or
development in the county. Upon review of your application, I have determined that the
application is complete for the purposes of beginning the permit review. This review is pursuant
to Mason County Code, Title 15 (Mason County Development Code.)
I will proceed with the review process of your permit application; however, additional information
may be required by another department at a later date.
Please call me at (360)427-9670, ext. 365 if you have any questions.
Sincerely,
�zL
Allan Borden
Land Use Planner
Mason County Planning Department
Comments:
Your building permit site plan is complete and conditions of approval are added. If you are going to
construct the second floor deck (5 to 6.5 ft. deep), you must submit building plans and permit
application prior to undertaking such work. Contact the Permit Assistance Center (at ext. 281 or
284).
9
8/8/2011
Pa e 1 of 1 BLD2011-00616
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
2009 Washington State Energy Code (WSEC)
Effective January 1, 2011.
Ventilation & Indoor Quality
Ventilation code provisions are now located in the 2009 International Residential Code (IRC), 2009
International Mechanical Code (IMC), & 2009 International Building Code
The following information will be required for the WSEC and ventilation code plan review:
1. Complete the Washington State Energy Code/Ventilation code application located on the reverse side
including information about the project, proposed compliance methods and proposed energy credit(s) listed
in Table 9-1attached to this form. All dwelling units are required to develop at least one credit from Table
9-1.
2. Include all windows, skylights, sliding glass doors, french doors and any other door with 50% glass or more
on the window and door schedule. Use rough opening dimensions 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 that all window & door glazing will have the required u-factor of the compliance option. When
using the area weighted average methods to comply with prescriptive-path include calculations with
submittal documents.
3. Identify the location and fuel type of the heating system, water heater, location of exhaust fans (bathroom,
laundry, kitchen, etc.) and R-factor of proposed insulation for walls, floors, ceilings, and slabs on the
building plans. Indoor and outdoor lighting shall be high efficacy luminaires that comply with WSEC section
505. To verify compliance, provide lighting information on plans.
4. Questions? Call Mason County Community Development at (360)427-9670 ext. 352. WSEC compliance
information and code text is also available on the WSU-Energy Program website at:
http://www.energy.wsu.edu/code/
Prescriptive Requirements °,' for Group R Occupancy
Climate Zone 1, Table 6-1
Glazing Glazing U-factor Wa1112 Wall Wall Slab 6
Area% Door U- Vaulted Above int ext la
Option of Floor vertical Overhead Factors Ceiling2 Ceiling3 Grade below Below Floor 5 on
grade Grade
R-49 or R-21 R-21
I 13% .34 .50 .20 R-38 R-38 int' TB R-10 R-30 R-10
adv
R-49 or R-21 R-21
H* 25% .32 .50 .20 R-38 R-38 int' TB R-10 R-30 R-10
adv
R-49 or R-21 R-21
Unlimited .30 .50 .20 R-38 R-38 int' TB R-10 R-30 R-10
III10, 0
adv
"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.
1 J
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMPIFCEIVED
WSEC/Ventilation Code Compliance Application JUL 2 8 2011
Owner: R/ FFt'-r G/�RL �� Parcel#,9,�331-s� -c2��.2 Type of project
AR ST
Total Sq. Ft. �� 15 Floor: 2" floor: q3( Heated Ba ent:
of heated area::
Heating System Type: O Electric wall heater k Electric Central Furnace O LPG Furnace
O Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump
O Boiler, specify fuel type: O Other: Specify:
Glazing Compliance P Prescriptive Option see reverse side circle one: I II III
Percentage: Method Component Performance , Chapter 5— Calculation worksheets required
21
% Check one::
Other (specify):
Check one u Whole House Ventilation system µ Whole House Ventilation µ Other,
Ventilation using exhaust fans&window or Integrated with a Forced Air describe:
System wall fresh air vents (M1508.4) System (M1508.5)
Referencing WSEC Section 901, "Additional Residential Energy Efficiency Requirements,"all
NkW residential units must develop 1 credit from Table 9-1. Identify and describe which option(s)will be used
ENERGY 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/Community Dev/index. h .
CREDITS Option: Description:
Table 9-1
51')') egg 'f </ 00,V wl < 300 Pf
Window & Door Schedule (If needed, attach an additional sheet)
Total
Manufacturer Room/location U-Factor Size Quantity Square Feet
Windows: DI n inch 30 60 X qo 1 2N
L i v i h 60)rL10 1 2 t4
L;van 01
SGD 60 k- 0 1
S4a;rwel 1 30 k Lt0 I I Z
d # I So k40 1 20
e 2 50Kg0 2. Lt0
4o x 3(, 1 I y
Windows: Total Sq. ft. / '7
Doors: wrisind-/
. 20 I?)f 1 $
Doors: Total Sq. Ft /g
Total window and door area 93
Total window& door area 03 / (divided by)total sq. ft of heated area I��o = -2 1 %of glazing
901 Additional Residential Energy Efficiency Requirements. Dwelling units permitted under this Code shall
comply with all provisions of Chapter 5 of this Code and develop 1 credit from Table 9-1.
EXCEPTION: Buildings complying using Chapter 4 Building Design by Systems Analysis shall meet
this provision of this section by demonstrating that the proposed building energy use is 8 percent less
than the target building energy use.
Table 9-1,Energy Credits (Debits)
OPTION DESCRIPTION CREDITS)
1 a HIGH EFFICIENCY HVAC EQUIPMENT 1: 1.0
Gas,propane or oil-fired furnace or boiler with minimum AFUE of 92%,
or
Air-source heat pump with minimum HSPF of 8.5.
lb HIGH EFFICIENCY HVAC EQUIPMENT 2: 2.0
Closed-loop ground source heat um • with a minimum COP of 3.3.
1 c HIGH EFFICIENCY HVAC EQUIPMENT 3: 1.0
DUCTLESS SPLIT SYSTEM HEAT PUMPS,ZONAL CONTROL:
In home where the primary space heating system is zonal electric heating,a ductless heat
pump system shall be installed and provide heating to at least one zone of the housing unit.
2 HIGH EFFICIENCY HVAC DISTRIBUTION SYSTEM:' 1.0
All heating and cooling system components installed inside the conditioned space.All
combustion equipment shall be direct vent or sealed combustion.Locating system
components in conditioned crawl spaces is not permitted under this option. Electric
resistance heat is not permitted under this option.Direct combustion heating equipment
with AFUE less than 80%is not permitted under this option.
3a EFFICIENT BUILDING ENVELOPE 1: 0.5
Prescriptive compliance is based on Table 6-1,Option III with the following modifications:
Window U=0.28 floor R-38,slab on grade R-10 full,below grade slab R-10 full.
or
Component performance compliance: Reduce the Target UA from Table 5-1 by 5%,as
determined using EQUATION 1. 1
3b EFFICIENT BUILDING ENVELOPE 2: 1.0
Prescriptive compliance is based on Table 6-1,Option III with the following modifications:
Window U=0.25 and wall R-21 plus R-4 and R-38 floor,slab on grade R-10 full,below
grade slab R-10 full,and R-21 plus R-5 below grade basement walls.
or
Component performance compliance: Reduce the Target UA from Table 5.1 by 15%,as
determined using EQUATION 1. 1
3c SUPER-EFFICIENT BUILDING ENVELOPE 3: 2.0
Prescriptive compliance is based on Table 6-1,Option III with the following modifications:
Window U=0.22 and wall R-21 plus R-12 and R-38 floor,slab on grade R-10 full,below
grade slab R-10 full and R-21 plus R-12 below grade basement walls and R-49 advanced
ceiling and vault.
or
Component performance compliance: Reduce the Target UA from Table 5.1 by 30%, as
determined using EQUATION 1. '
4a AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION: 0.5
Envelope leakage reduced to SLA of 0.00020 building envelope tightness shall be
considered acceptable when tested air leakage is less than specific leakage area of 0.00020
when tested with a blower door at a pressure difference of 50 PA.Testing shall occur after
rough in and after installation of penetrations of the building envelope,including
penetrations for utilities,plumbing,electrical,ventilation,and combustion appliances.
and
All whole house ventilation requirements as determined by Section M1508 of the
Washington State Residential Code shall be met with a heat recovery ventilation system in
accordance with Section M 1508.7 of that Code.
4b ADDITIONAL AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION: 1.0
Envelope leakage reduced to SLA of 0.00015 building envelope tightness shall be
considered acceptable when tested air leakage is less than specific leakage area of 0.00015
when tested with a blower door at a pressure difference of 50 PA.Testing shall occur after
rough in and after installation of penetrations of the building envelope,including
penetrations for utilities,plumbing,electrical,ventilation,and combustion appliances.
and
All whole house ventilation requirements as determined by Section M1508 of the
Washington State Residential Code shall be met with a heat recovery ventilation system in
accordance with Section M 1508.7 of that Code.
5a EFFICIENT WATER HEATING:' 0.5
Water heating system shall include one of the following:
Gas,propane or oil water heater with a minimum EF of 0.62.
or
Electric Water Heater with a minimum EF of 0.93.
and for both cases
All showerhead and kitchen sink faucets installed in the house shall meet be rated at 1.75
GPM or less.All other lavatory faucets shall be rated at 1.0 GPM or less?
5b HIGH EFFICIENCY WATER HEATING:' 1.5
Water heating system shall include one of the following:
Gas,propane or oil water heater with a minimum EF of 0.82.
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.
6 SMALL DWELLING UNIT 1: 1.0
Dwelling units less than 1500 square feet in floor area with less than 300 square feet of
window door area.Additions to existing building that are less than 750 square feet of heated
floor area.
7 LARGE DWELLING UNIT 1:' -1.0
Dwelling units exceeding 5000 square feet of floor area shall be assessed a deduction for
purposes of complying with Section 901 of this Code.
8 RENEWABLE ELECTRIC ENERGY: 0.5
For each 1200 kWh of electrical generation 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 windspeed at the site and height of the tower.
Footnotes: 1.Interior Duct Placement:Ducts included as Option 2 of Table 9-1 shall be placed wholly within the
heated envelope of the housing unit.The placement shall be inspected and certified to receive the credits
associated with this option.
Exceptions:
Ducts complying with this section may have up to 5%of the total linear feet of ducts located in the
exterior cavities or buffer spaces of the dwelling. If this exception is used the ducts will be tested to
the following standards:
Post-construction test: Leakage to outdoors shall be less than or equal to 1 CFM per 100 ft of
conditioned floor area when tested at a pressure differential of 0.1 inches w.g.(25 Pa)across the
entire system,including the manufacturer's air handler enclosure.All register boots shall be taped
or otherwise sealed during the test.
2.Plumbing Fixtures Flow Ratings.Low flow plumbing fixtures(water closets and urinals)and fittings
(faucets and showerheads)shall comply with the following requirements:
(a)Residential bathroom lavatory sink faucets: Maximum flow rate-3.8 L/min(1.0 gal/min)when tested in
accordance with ASME A 112.18.1/CSA B 125.1.
(b)Residential kitchen faucets: Maximum flow rate-6.6 L/min(1.75 gal/min)when tested in accordance
with ASME A112.18.1/CSA B125.1.
(c)Residential showerheads: Maximum flow rate-6.6 L/min(1.75 gal/min)when tested in accordance with
ASME A 112.18.1/CSA B 125.1.
Prescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1
Project Information Contact Information
i Grif&Teresa Garcia Project HLH#936SSR Nathan Glass - Designer
Collins Lake#3 TR 26 Tahu a, WA 98588 Hiline Homes (253) 840-1849 Ext 129
This set of forms has been developed to assist permit applicants documenting compliance with the
Washington State Energy Code, (2009 edition). This set is for structures built under the IRC and located
in Climate Zone 1.
The following forms provide much of the required documentation for plan review. The details noted here
must also be shown on the drawings (WSEC 104.2).
This form is not a substitute for the energy code itself. To obtain a copy of the energy code,
go to the following web address. http://www.energy.wsu.edu/code
Glazing Glazing U-Factor Door' 2 Vaulted Wall12 Wall- int' Wall- ext4 Slab'
Option Area Ceiling 3 Above Below Below Floors on
%of Floor Vertical Overhead'1 U-Factor Ceiling Grade Grade Grade Grade
R-49 or R-21 R-21 R-10
OI 13% 0.34 0.50 0.20 R-38 R-38 Int.7 TB R-10 R-30 T
Adv.
R-49 or R-21 R-21 R-10
011 25% 0.32 0.50 0.20 R-38 R-38 Int.7 TB R-10 R-30 2,
Adv.
R-49 or R-21 R-21 R-10
OIII Unlimited 0.30 0.50 0.20 R-38 R-38 Int.7 TB R-10 R-30 2,
Adv.
See WSEC table 6-1 for footnotes
Glazing Schedule Attached to Document
❑ Does not apply. (SEE INSTRUCTIONS) Using Prescriptive Option III.All glazing
and doors meet maximum U-factor.Alternate heating size method submitted.
❑ Option I or II, Glazing to floor area limit(WSEC 602.7.2)
❑ Area weighted window, skylight or door U-factor(WSEC 602.7.2)
❑ As part of the heating system sizing calculation (IRC M1401.3&WSEC 503.2.2)
Radiant slab:
❑ R-10 foam insulation, continuous with thermal break (WSEC 502.1.4.9)
Chapter 9 Options Total of 1 Credit Required
Opt. Opt. Description
1a I High Efficiency HVAC Equipment 1 ❑
1 b High Efficiency HVAC Equipment 2 ❑
1c High Efficiency HVAC Equipment 3 ❑
2 High Efficiency HVAC Distribution System ❑
3a Efficient Building Envelope 1 ❑
3b Efficient Building Envelope 2 ❑
3c Super-Efficient Building Envelope 3 ❑
4a Air Leakage Control and Efficient Ventilation ❑
4b Additional Air Leakage Control and Efficient Ventilation ❑
5a Efficient Water Heatin ❑
5b High Effieciency Water Heatin ❑
6 Small Dwelling Unit 1.0
7 Large Dwelling Unit ❑
8 Renewable Electric Energy *1200 kwh ❑
Total Credits 1.00
WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEP10-010 Copyright 2010
t
TABLE 9-1
ENERGY CREDITS(DEBITS)
OPTION DESCRIPTION
CREDIT(S)
la HIGH EFFICIENCY HVAC EQUIPMENT 1:
Gas,propane or oil-fired furnace or boiler with minimum
AFUE of 92%, I
or
Air-source heat pump with minimum HSPF of 8.5.
lb HIGH EFFICIENCY HVAC EQUIPMENT 2:
Closed-loop ground source heat pump; 2
with a minimum COP of 3.3.
1C HIGH EFFICIENCY HVAC EOUIPMENT 3:
DUCTLESS SPLIT SYSTEM HEAT PUMPS,ZONAL
CONTROL:
In home where the primary space heating system is zonal 1
electric heating,a ductless heat pump system shall be
installed and provide heating to at least one zone of the
housing unit.
2 HIGH EFFICIENCY HVAC DISTRIBUTION
All heating and cooling system components installed inside
the conditioned space. All combustion equipment shall be
direct vent or sealed combustion.
Locating system components in conditioned crawl spaces is 1
not permitted under this option.
Electric resistance heat is not permitted under this option.
Direct combustion heating equipment with AFUE less than
80%is not permitted under this option.
3a EFFICIENT BUILDING ENVELOPE 1:
Prescriptive compliance is based on Table 6-1,Option III
with the following modifications: Window U .= .28 floor R-
38,slab on grade R-10 full,below grade slab R-10 full. 0.5
or
Component performance compliance:Reduce the Target UA
from Table 5-1 by 5%,as determined using EQUATION 1.
3b EFFICIENT BUILDING ENVELOPE 2:
Prescriptive compliance is based on Table 6-1,Option III
with the following modifications: Window U.= .25 and wall
R-21 plus R-4 and R-38 floor,slab on grade R-10 full,below
grade slab R-10 full,and R-21 plus R-5 below grade 1
basement walls.
or
Component performance compliance:Reduce the Target UA
from Table 5.1 by 15%,as determined using EQUATION 1.
3c SUPER-EFFICIENT BUILDING ENVELOPE 3:
WSEC Prescriptive Worksheet (2010 Edition) WSUEP10-010 Copyright 2010
I
c
Prescriptive compliance is based on Table 6-1,Option III
with the following modifications: Window U.= .22 and wall
R-21 plus R-12 and R-38 floor,slab on grade R-10 full,
below grade slab R-10 full and R-21 plus R-12 below grade
basement walls and R-49 advanced ceiling and vault. 2
or
Component performance compliance:Reduce the Target UA
from Table 5.1 by 30%,as determined using EQUATION 1.
4a AIR LEAKAGE CONTROL AND EFFICIENT
Envelope leakage reduced to SLA of 0.00020 building
and
All whole house ventilation requirements as determined by 0.5
Section M1508 of the Washington State Residential Code
shall be met with a heat recovery ventilation system in
accordance with Section M 1508.7 of that Code.
4b ADDITIONAL AIR LEAKAGE CONTROL AND
EFFICIENT VENTILATION:
Envelope leakage reduced to SLA of 0.00015 building 1
and
All whole house ventilation requirements as determined b
5a EFFICIENT WATER HEATING:'
Water heating system shall include one of the following:
Gas,propane or oil water heater with a minimum EF of 0.62.
or
Electric Water Heater with a minimum EF of.93. 0.5
and for both cases
All showerhead and kitchen sink faucets installed in the
house shall meet be rated at 1.75 GPM or less. All other
lavatory faucets shall be rated at 1.0 GPM or less.Z
5b HIGH EFFICIENCY WATER HEATING:'
Water heating system shall include one of the following:
Gas,propane or oil water heater with a minimum EF of 0.82.
or
Solar water heating supplementing a minimum standard water
heater. Solar water heating will provide a rated minimum 1.5
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.
6 SMALL DWELLING UNIT 1:'
Dwelling units less than 1500 square feet in floor area with
less than 300 square feet of window.+door area. Additions 1
to existing building that are less than 750 square feet of
heated floor area.
7 LARGE DWELLING UNIT 1:1
Dwelling units exceeding 5000 square feet of floor area shall _1
be assessed a deduction for purposes of complying with
Section 901 of this Code.
WSEC Prescriptive Worksheet(2010 Edition) WSUEP10-010 Copyright 2010
g RENEWABLE ELECTRIC ENERGY:
For each 1200 kWh of electrical generation 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. (1'S
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.
Footnotes:
1. Interior Duct Placement: Ducts included as Option 2 of
Table 9-1 shall be placed wholly within the heated envelope
of the housing unit. The placement shall be inspected and
certified to receive the credits associated with this option.
EXCEPTION:
Ducts complying with this section may have up to 5% of the
total linear feet of ducts located in the exterior cavities or
buffer spaces of the dwelling. If this exception is used the
ducts will be tested to the following standards:
Post-construction test: Leakage to outdoors shall be less than
or equal to 1 CFM per 100 ft2 of conditioned floor area when
tested at a pressure differential of 0.1 inches w.g. (25 Pa)
across the entire system, including the manufacturer's air
handler enclosure. All register boots shall be taped or
otherwise sealed during the test.
2. Plumbing Fixtures Flow Ratings. Low flow plumbing
fixtures (water closets and urinals) and fittings (faucets and
showerheads)shall comply with the following requirements:
(a) Residential bathroom lavatory sink faucets:
Maximum flow rate - 3.8 L/min(1.0 gal/min)when tested in
accordance with ASME Al 12.18.1/CSA B125.1.
(b) Residential kitchen faucets: Maximum flow rate - 6.6
L/min (1.75 gal/min) when tested in accordance with ASME
Al12.18.1/CSA B125.1.
(c)Residential showerheads: Maximum flow rate - 6.6
L/min(1.75 gal/min)when tested in accordance with ASME
Al 12.18.1/CSA B 125.1
WSEC Prescriptive Worksheet (2010 Edition) WSUEP10-010 Copyright 2010
Glazing Schedule
Project Information Contact Information
Grif&Teresa Garcia Project HLH#936SSR Nathan Glass - Designer
Collins Lake#3 TR 26 Tahuya, WA 98588 Hiline Homes (253)840-1849 Ext 129
Conditioned Floor Area 936 Sum of UA for Heating System Sizing 56.1
Sum of All Glazing Areas From Below 175
Glazing to Floor Area Ratio 18.70% 602.7.2 Exception Ratio (not to exceed 1%)�
Exterior Doors
Plan Component Door Percent Width Height Glazing Door Door
ID Description Ref. U-factor Glazed Qt. Feet Inch Feet Inch Area Area UA
Downstairs Rear Exit Door 0.200 1 2 8 6 8 17.8 3.6
One Exempt Swinging Door<24 Square Feet
Sum of Glazing Area, Door Area, and UA (do not include exempt door) 17.8 3.6
Area Weighted U = UA/Area 0.20
Sum of Area and UA for Heating system size only(include exempt door) 17.8 3.6
Vertical Glazing (Windows, Glazed doors using Exception 602.6#1)
Plan Component Glazing Width Height Glazing
ID Description Ref. U-factor Qt. Feet Inch Feet Inch Area UA
Dining Room 0.300 1 6 4 24.0 7.20
Living Room 0.300 1 6 4 24.0 7.20
Living Room S.G.D. 0.300 1 6 6 10 41.0 12.30
Above Stairwell 0.300 1 3 4 12.0 3.60
Bedroom 1 0.300 1 5 1 14 20.0 6.00
Bedroom 2 0.300 2 5 4 40.0 12.00
Kitchen 10.300 1 4 3 6 14.0 4.20
Sum of Area and UA 175.0 52.50
Area Weighted U = UA/Area 0.30
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEP10-010 Copyright 2010
Overhead Glazing
Plan Component Glazing Width Height
ID Description Ref. U Qt. Feet I1ch Feet Inch Area UA
Sum of Area and UA
Area Weighted U = UA/Area
Doube Glazed Garden Windows Section 602.7.2 Exception
Plan Component Width Height
ID Description Qt. Feet Inch Feet '"°" Area UA
Sum of Area
Sum of Area X 3 (This total is automatically included in the glazing area total.)
Glazing UA for Heating System Size Only =Area X 0.63
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEP10-010 Copyright 2010
Simple Heating System Size: Climate Zone 1
Project Information Contact Information
Grif&Teresa Garcia Project HLH#936SSR Nathan Glass- Designer
Collins Lake#3 TR 26 Tahu a, WA 98588 Hiline Homes 253 840-1849 Ext 129
Indoor Design Temperature 70
Outdoor Design Temperature 22
Design Temperature Difference (AT)
AT=Indoor-Outdoor Design Temp 48
Conditioned Floor Area 936
Conditioned Volume 7,488
Glazing
Copy Sum of UA from Glazing Schedule 56
Attic U-Factor X Area = UA
R-49 0.027 936 25.3
R-38 Advanced 0.026
Single Rafter or Joist Vaulted Ceilings
U-Factor X Area = UA
R-38 Vented 0.027
Above Grade Walls U-Factor X Area = UA
R-21 0.056 817 45.8
Floors U-Factor X Area = UA
R-30 0.029 936 27.1
Below Grade Walls U-Factor X Area = UA
2' Depth Walls 0.042
3.5' Depth Walls 0.041
7' Depth Walls 0.037
Slab Below Grade F-Factor X Length = UA
2' Depth 0.59
3.5' Depth 0.64
7' Depth 0.57
Slab on Grade F-Factor X Length = UA
R-10 2' perimeter 0.54
R-10 Full - Heated 0.55
Sum of UA 154
Envelope Heat Load 7403 Btu/ Hour
Sum of UA X AT
Air Leakage Heat Load 3882 Btu/ Hour
((Volume X 0.6)X AT)X.018))
Building Design Heat Load 11285 Btu/ Hour
Air Leakage+Envelope Heat Loss
Building and Duct Heat Load F 1.15 F 12977 Btu/ Hour
If ducts are located in unconditioned space:Sum of Building Heat Loss X 1.15
If ducts are located in conditioned space:Sum of Building Heat Loss X 1
Maximum Heat Equipment Output 150% 19466 Btu/ Hour
Building and Duct Heat Loss X 1.50
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEP10-010 Copyright 2010
4
Name/ �' �✓� Parcel# Z��3f' Sa- Lb � 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'.
'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 , x= , ,'
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 / OU X _ /DOl►
X = Length of drive begins at the right of way
X =
Parking Areas ,'D X A _ ?ZC%
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 T 2 uare 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 Sauare Feet,please read,acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
Name SR IF G A-RC I A Parcel# 3 3 �oZ —d04�6 BLD# 6 I I -4
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:
httn//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 w' be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,p
B) An alternative plan and/or professional design will be submitted to the Department of Public Works rovi�ND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel. (�
V O
If you have further questions pertaining to parcel drainage and stormwater management Mas oVuQ� uberksoat:
rks
Department can provide additional instructions guidance and examples. Section 14.48.130 contact gub '
p p �� p ( ) ��.
Phone: (360)-427-9670 EXT.450
Mail: P 0 Box 1850, Shelton WA 98584 pk
Physical:415 N 6th St, Shelton WA 98584
If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or
any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason
County Division of Environmental Health can be reached at:
Phone: (360)-427-9670 EXT.352
Mail: P 0 Box 1666,Shelton WA 98584
Physical:426 W Cedar St, Shelton WA 98584
A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
� � Q
X Owner/Agent/Contractor(circle one)Date: ! —7 I
Page 2 of 2
BUILDING MASON COUNTY PERMIT NO.B'Id�CS 1 I—rx- I[�
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 � Ii I�
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner �" Csf�liCr� Company Name H,-, z- �5
Mailing Address 0 ( t:Zq - Mailin Address c
Cit;Z�`U h%A BG+, State W- Zip Code - City /���tJ�' State LO Zip Code �� 7�
Phone 253=<3��6-7�.r1 o Other Ph. 2U�-�G�-���o Phone 53 sSfO /6r" Other Ph.
Lien/Title Holder G /�G% ' � '� "� Contractor Reg.#!-/i L/A)i/#9 3/3D Exp. -5--10i/
E mail address C�/�Lc/A ifa'�K�1�L, C4,&4 E Mail Address AU5N�?"L
Drivers Lic.# - ?t C DOB /6 -;Z7'S> Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic Existing Septic IC
Connect to Water System Name of Water System
Well Water System L'L Name of Water System
PARCEL INFORMATION- 12 Digit Parcel No, Fire District v.
Legal Description �OL-t-1 t45 Gq,CE 4ef 3 %-
Site Address (Please include street name,street number and city) 90 Ne 74 t1il
Directions to site S-E
Will timber be cut and sold in parcel preparation?Yes N
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 o
TYPE OF JOB - New�C Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL
Use of Building R E�iDE.�"Tip/- Describe ork
No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor 0126
3rd Floor Basement Deck Covered Deck 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 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
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.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
r
X /mot - -�c� /l Cc _ Date
Own r Owners Representative/Contr ctor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
r
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department it&6h 01F r x tVI ,/
Planning Department n , i =
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbinq&Base Fee Planning Review Fee G
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
BUILDING MASON COUNTY PERMIT NO. k i z O I I -CC)LjC%'
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 INFORMATION
Owner 61f/fi=r' t Company Name
Mailing Addres IrJO 6OX- 12 16 Mailing Address 'e
City�G N44A.1c State! _Zip Code d City��+�'���ii,10 State Zip Code 3
Phone Z 3--SSA-7,2'30 Other Ph. 2 S6/ QG�o Phone � �� `tv" ��� Other Ph.
-
Other Title Holder Contractor Reg. # i i_ ,,L CPExp.
E mail address E Mail Address P 130S'`dA& rLiNt
Drivers Lic.#G, uGG �6 l DOB /D Z?- i1i53 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 77 37/ - 72 -G C 777 Fire District'`/
Legal Description l'oC�r�S L,4KE 3 %R vZ6 '74
NUy/,4
Site Address (Please include street name, street number and city) 90
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_ C�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 UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPG_Natural Gas_Heat Pump_
Toilets Type of Unit N .off Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks % Wood/Gas/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
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.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYON T IS POINT
Accepted byatp-lanning Pd Ck# Date I I Bld Pd Receipt No.
DEPARTME TAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—Type Constr. t> 140)1
Planning Department
Environmental Health Department c<,
FEES
Plumbing& Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES