HomeMy WebLinkAboutBLD2025-00527 SFRl - BLD Inspections - 4/14/2026 r 1
Department of Community Development
MASON COUNTY
615 W.Alder St.Bldg 8,Shelton,WA 98584
COMMUNITY DEVELOPMENT 360-427-9670 ext.352
Permit Assistance Center,Building,Planning www.MasonCountyWA.gov
INSPECTION CARD AND CERTIFICATE OF OCCUPANCY**
To schedule an inspection call or visit
https://masoncountywa.gov/departments/community_development/building/inspections/index.php
Permit Number BLD2025-00527 Date Issued 07/02/2025 Issued
Project New home construction in Mason County WA.
Site Address 365 SE SNIDER RD
Applicant SCHERZ, KRAIG
Contractor MAPLES EXCAVATING
Contractor Phone 360-229-3043
2021 IBC,IRC,IFC,IEC, IMC,&
Primary Code UPC Type
Permit Type NEW SINGLE FAMILY RESIDENCE Occupancy
-APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS.
-DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED.
-THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION, FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY.
-ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION.
-OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION.
**THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED.**
PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET
Public Works Access/Driveway Other
Health Septic Well
Deptartment
Planning Site Inspection
Department
Fire Marshall Fire Apparatus Access Fire Sprinkler
Auto Fire Alarm Hood and Duct
Other Final
Building Building Official: Community Services Designee
Department
Concrete Setbacks 743 ,25 Slab
Footing Perimeter Point load Footing
Footing Interior - — Footing Decks/Porches
Foundation Stem Walls _/c Z Other
Rough-In Groundwork Plumbing Framing 2 LcL
Groundwork Mechanical Plumbing /Z-Z-2 Di —
Groundwork Gas Pipe Mechanical 1 Z-2, DE
Gas Piping Shear Wall Nailing e
Underfloor
Other
Insulation Slab Ceiling
Floor Vaulted Ceiling
Walls J -1i-.isOO Vapor Barrier
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building -( .2(p DE
Manufactured Setbacks Setup
Home
Concrete Foot/Runners Final
Other
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INSPECTION RESULTS Pagel
MASON COUNTY Department of Community Development
COMMUNITY DEVELOPMENT 615 W Alder St, Shelton, WA 98584
Permit Assistance Center.Budding,Planning (360)427-9670 ext. 352
Application # BLD2025-00527 Application Type NEW SINGLE FAMILY Owner SCHERZ, KRAIG
RESIDENCE
Parcel# 320255090544 Site Address 365 SE SNIDER RD SHELTON, WA 98584
Inspector Inspection Type Date Status Comments
8-7-25-JQ
Per pg S2.0 and S2.1 Marked in Red squash blocks are missing and Post bearing
points Please add
At HDU2 location marked in red on Pg S2.0 cripple wall members shall be equil to
th framing above see hold down schedual on pg S1.0 circled in red
er Pg S2.0 of approved plan the bearing wall is to have fill depth 1-1/4" LSL
Joshua UNDERFLOOR INSPECTION 08/07/2025 FAIL blocking Not LPI BLOCKING please see 4/S3.0 please contact provide a Letter from
Quarders the FOR
.4. Cripple wall stud is over notched at the base (left hand side wall) marked with black
/sharpie please add 2x6 member to reinforce area.
DO NOT SHEET
(= J4'"flC( S CALL FOR REINSPECTION WHEN CORRETIONS HAVE BEEN MADE
g�It lZs o� ;v sue- Zi1 j
INSPECTION RESULTS Pagel
MASON COUNTY Department of Community Development
COMMUNITY DEVELOPMENT 615 W Alder St, Shelton, WA 98584
Permit Assistance Center,Building,Planning (360)427-9670 ext. 352
Application# BLD2025-00527 Application Type NEW SINGLE FAMILY Owner SCHERZ, KRAIG
RESIDENCE
Parcel# 320255090544 Site Address 365 SE SNIDER RD SHELTON, WA 98584
Inspector Inspection Type ate Status Commen
11-13-25 DEC
1. WATERSERVICE AND DWV NOT UNDER TEST
.- TRAP DWV AT MID SPAN
.3f CAULK AND SEAL
�ROVIDE NAIL PLATES WHERE REQUIRED
Drew Carlson FRAMING INSPECTION 11/13/2025 FAIL I.,,PROVIDE NAIL STRAP AT BACK OF HOUSE. MARKED ON PLAN
,61NSTALL A35'S AT BEARING WALL, ALSO FRONT AND BACK OF HOUSE PER
DET.AIL. AREAS MARKED ON PLAN.
-T.'INSTALL HOLD DOWN AT BACK CORNER OF HOUSE. AREA MARKED ON
PLAN 1 /
, A) U
Vv
INSPECTION RESULTS Pagel
MASON COUNTY Department of Community Development
COMMUNITY DEVELOPMENT 615 W Alder St, Shelton, WA 98584
Permit Assistance Center,Building,Planning (360) 427-9670 ext. 352
Application# BLD2025-00527 Application Type NEW SINGLE FAMILY Owner SCHERZ, KRAIG
RESIDENCE
Parcel # 320255090544 Site Address 365 SE SNIDER RD SHELTON, WA 98584
Inspector Inspection Type Date Status Comments
11-25-25 DEC
SERVICE OK
ROUGH- PLUMBING DWV NOT UNDER TEST.
Drew Carlson INSPECTION 11/25/2025 FAIL CALL FOR REINSPECTION
11-13-25 dec
see framing notes
INSPECTION RESULTS Pagel
MASON COt NT\ Department of Community Development
COMMUNITY DEVELOPMENT 615 W Alder St, Shelton, WA 98584
Permit Assistance Center,Building,Planning (360)427-9670 ext. 352
Application # BLD2025-00527 Application Type NEW SINGLE FAMILY Owner SCHERZ, KRAIG
RESIDENCE
Parcel # 320255090544 Site Address 365 SE SNIDER RD SHELTON, WA 98584
Inspector Inspection Type Date Status Comments
12-9-25 DEC
Drew Carlson INSULATION INSPECTION 12/09/2025 FAIL INSULATION AROUND WINDOWS IS INCOMPLETE. INSULATE AROUND
WINDOWS AND CALL FOR REINSPECTION
INSPECTION RESULTS Pagel
MASON COUNTY Department of Community Development
COMMUNITY DEVELOPMENT 615 W Alder St, Shelton, WA 98584
Permit Assistance Center.Budding,Planning (360)427-9670 ext. 352
Application # BLD2025-00527 Application Type NEW SINGLE FAMILY Owner SCHERZ, KRAIG
RESIDENCE
Parcel# 320255090544 Site Address 365 SE SNIDER RD SHELTON, WA 98584
Inspector Inspection Type Date Status Comments
4-9-26 DEC
1. SEAL ALL PENETRATIONS IN DRYWALL BY HOT WATER TANK
2. INSULATE ALL WATER LINES IN GARAGE
3. PROVIDE TOE KICKS ON STAIRS IN GARAGE
4. SEAL ALL EXTERIOR PENETRATIONS. SECURITY LINES, PVC PIPES,
Drew Carlson BLD-FINAL INSPECTION 04/09/2026 FAIL ELECTRICAL
5. INSULATE ALL WATER LINES AT EXT CRAWL ACCESS. MAIN SERVICE, LINE
TO HOSE BIB AND SECURE INSULATION IN PLACE
EMAIL PICTURES AND INCLUDE PERMIT#, NAME ON PERMIT AND ADDRESS
DREWC@MASONCOUNTYWA.GOV
HOUSE WILL FINAL WHEN I CONFIRM RECEIPT OF EMAIL
180 DAY TEMP OCCUPANCY OK
Revised WSEC with O3 Calculator supplied by Ramsey Beckmann (ICS Inspectors LLC).
Selecting WSEC Option 1.2 in LIEU of Option 1.4 originally selected on WSEC
Worksheet.
Compliance with Option 1.2 is met by reducing total UA by 15% or more. The
modifications listed in Option 1.2 are not necessary to be met.
Fenestration U-Factor: .28
Skylight U-Factor: .50
Ceiling R-Value: R-60
Wood Frame Wall R-Value: 23
Floor R-Value: 38
See O3 Calculator Attached
Stephen Scott — Mason County Building Inspector
I I - 19 -z5
l
WSU Code Compliance Calculator,WSEC 2021
Project Information '.ieesaes I Comments a RESULTa PASS
Prepared for:
Schertz Residence Note: Review required for custom entries:-Doors-FlatfVaufled Ceilings
365 SE Snider Road UA Reduction=38.73,Proposed UA is better than baseline by 15%
Shelton,WA.98584
Contact Information UA reduction meets percent target of selected Option 1.2
Brittany Maples-(360)490.3913-maplesexcavating@hotmail.com Windowarea is 9%offloor area
Ramsey Beckmann-(833)436-9666-ramseyb@ics-inspectors.com Whole House Mechanical Ventilation Airflow Rate.81.25 CFM with Run Time Percent of 100%.Balanced,Not Distributed
Results eases.your Inputs are coteplMe and correct Results donut conatlhde an approval.Analysis should be renewed by your At1J.
ANALYSIS SET UP
What code compliance pathway are you using? Total UA Alternative,Whole Building Trade Off Analysis
Project Building Type? New Construction
Occupancy Type? R3 Single family dwellings and townhouses
Code Version? WSEC 2021
Classification: Medium Dwelling Unit—2033 sq.ft.
Baseline Description: Code Baseline-Maximum baseline window area is 15%of floor area.
About Your Selection: No exempt window or door areas
RESULTS Comparison of Baseline and Proposed Design
Component Performance,R occupancies Baseline Design Proposed Design
U Area UA U Area UA
Doors U= 0.300 60 18.0 0.257 60 15.4
Overhead Glazing U= 0.500 0 0.0 0 0.0
Vertical Glazing U= 0.300 193 57.8 0.280 193 53.8
Flat/Vaulted Ceilings U= 0.024 2,033 48.8 0.017 2.033 35.0
Wall(above grade) U- 0.056 1.465 82.0 0.049 1,465 71.8
Floors over Crawlspace U= 0.029 2.033 59.0 0.025 2.033 50.8
Slab on Grade F= 0.540 0 0.0 0 0.0
Below Grade Wall U= N/A 0 0 0.0
Below Grade Slab F e N/A 0 0 0.0
Values from Table R402.1.2(Oct 2023)
Baseline UA Total 265.5 Proposed UA Total 226.8
Required Credits 8.0 Proposed Credits 8.0 from Tables 406.2 and 406.3
UA Percent Reduction 15%
UA Reduction 38.7
Results assume your inputs are complete and coned.Results Covet constitute an approval.Analyst should be renewed by your AH:.
Table R406.2 Energy Equalization Credits
Fuel Normalization Total Credits
System No. Full Desert Ion Select System Type Credits(406.2) Energy Credits(406.3) 406.2&496.3)
For heating system based on electric resistance with(1)inverter driven ductless mini- Electric Resistance with Ductless Heat Pump
5 split heat pump system installed in the largest zone in the dwelling OR(2)Wilh 2kW OR electric resistance with max 2 kW 20 6.0 8.0
or less total installed heating capacity per dwelling installed capacity
Table R406.3 Energy Credits
Option No. Category Select Options l Energy Credits Brief Description of Selected Options*
Perscriptive compliance per Table 402.1.3,U-0.25 vertical fenestration I
I Efficient Building Envelope Option 1.2 1.0 R-38 floors or R-10 perimeter&fully insulated slab.Or 15%reduction in
UA per section 8402.1.5
Per Section 8402.4.1.2/1.5 ACH50/For R-2,0.20 cfm per ft2 at 50 Pa.
2 Air Leakage Control and Efficient Ventilation Option 2.2 1.5 'HRV with min SHR eff of 0.75 per IRC Section M1505.3 or IMC Section
403.8
Ductless Mini Split Heat Pump WI Zonal Control.Min HSPF2 of 9(HSPF
3.1-3.10 High Efficiency HVAC Option 3.5 1.5 of 10)installed in largest zone of the home and primary heat is Zonal
Elec Resist Heat
3.11 High Efficiency HVAC Smart Thermostat Not Selected NA
4 High Efficiency HVAC Distribution System Not Selected NA -Not applicable to ductless system selected in Option 3
5.1 Efficient Water Heating:Drain Neat Recovery Not Selected 0.0
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WSU Code Compliance Calculator,WSEC 2021
5.2 Efficient Water Heating:Compact Hot Water Distribution Not Selected 0.0 _
5.3-5.8 Efficient Water Heating Option 5.6 2.0 Electric heat pump water heater meeting NEEA Tier 3.
6 Renewable Electric Energy 3,000 kWh Not Selected 0.0
7 Appliance Package Not Selected 0.0
Energy Credits 6.0
'Refer to WSEC 2021 Table R406.3 for complete option descriptions and requirements httos://sbcc.wa.gov/state-codes-regulations-cjuideines/statebuildinacode/energy-code
WSU_C32021_20241009-Mamor Lot 6.xlsm,Version:10/9/2024 40713 PM 10/16/2024 2
WSU Code Compliance Calculator,WSEC 2021
THERMAL ENVELOPE DETAILS-Proposed Design
Conditioned Floor Area,Proposed Design 2.033 sq,rt
Classification Medium Dwelling Unit
Notes
Exterior Doors
Plan Component Door Width Heil
ID Description Ref. U Of. Feet " Feet �'r" Area UA
Front Code Baseline.U=0.30 0.30 1 3 6 20 6.0
Garage Solid Core Door Custom 0.17 1 3 6 B 20 3.4 --.=ter to WSEC R402.1
Patio Code Baseline,U-0.30 0.30 1 3 6 20 6.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
Sum of Area and UA 60 15.4
Exterior Doors Area Weighted U 0.257
Overhead Glazing
Plan Component Glazing Width Hei ht
ID Description Ref. U Ot. Feet Feet '°" Area UA
Sum of Area and UA 0.0 0
Overhead Glazing Area Weighted U
Vertical Glazing Schedule Rows to Show 16
Plan Component Glazing Width Height '
ID Description Ref. U Of. Feet " Feet Area UA
1 XO U=0.28(2018 1.3,1.7) Table 406.2 0.28 4 5 5 100.0 26.00
2 PIC U=0.27 0.27 1 1 5 7.5 2.03
3 XOX U=0.28(2018 1.3,1.7 Table 406.2 0.28 1 7 4 28.0 7.84
4 XO U=0.28(2018 1.3,1.7 Table 406.2 0.28 1 4 3 12.0 3.36
5 XO U 0.28(2018 1.3 1.7 Table 406.2 0.28 1 3 3 9.0 2.52
6 XO U=0.28(2018 1.3,1.7 Table 406.2 0.28 1 6 5 30.0 8.40
7 OH U=0.28(2018 1.3,1.7 Table 406.2 0.28 1 2 3 6.0 1.68
8
9
10
11
12
13
14
15
Sum of Area and UA 192.5 53.8
Vertical Glazing Area Weighted U 0.280
Vertical Glazing and Doors Area Weighted U 0.274
FlaWaulted Ceitin
Plan Component Attic
ID Description Ref. U Area UA
Ceilings Scherz R60 5112 12"Heel Custom 0.017 2.033 35.0 Ritter to WSEC R402.1
Sum of Area and UA 2,033 35.0
Area Weighted U-Value 0.017
Walls Above Grade)
Plan Component Wall
ID Description Ref. U Net Area UA
Ambient R23 cavil+R0 foam tNT 2X6W Lap App A 0.049 1.323 65
Gare a R23 cavil+R0 foam INT 2X6W Lap App A 0.049 142 7
WSU_C32021_20241009-Mamor Lot 6.xtsm,Version:10/9/2024 4:07:13 PM 10/16/2024 3
WSU Code Compliance Calculator.WSEC 2021
H __
Sum of Net Area and UA 1,465 72
Gross Wall Area 1,717 ft'
Area Weighted U-Value 0.049
WSU_C32021 20241009-Mamor Lot 6.xlsm,Version:10/9/20244:07:13 PM 10/16/2024 4
WSU Code Compliance Calculator,WSEC 2021
Floor over crawl or exterior)
Plan Component Floor UA
ID Description Ref. U Area
Floor one R38 vented Joist(2021 1.2,1,3;20181,3-15, 10-3 0.025 2,033 51
Sum of Area and UA 2.033 51
Area Weighted U-Value 0.025
Slab on Grade less than 2 feet below grads)
Plan Component Slab Slab
ID Description Ref. F Perim FP
Sum of Perimeter and FP 0 0
Area Weighted U-Value
Below Grade Walls and Slabs
Plan Component Slab Wall Wall Wall Slab Slab Slab
ID Description Depth Ref. U Area UA F Perim UA
Sum of Area,Length and UA 0 0 0 0
Weighted U-and F-values
Links to Download Forms,Checklists and Other Resources Link
Compliance Certificate Compliance Certificate Instructions
Insulation Certificate for Residential New Construction Insulation Certificate
Duct Testing Affadavits
Existing Construction Aiidavil,Existing
New Construction Affidavit,New
Prescriptive Checklist for 2018 WSEC Prescriptive Checklist
Alterations(Remodel)Worksheet Worksheet
ERR SEER2 COP HSPF2 Converter https.//ww s.adicotengineering comfeer-seer2-coo-hspf2-kwtonconverter
Show Ventilation Calculator?Shen
Ventilation Requirements
Conditioned Floor Area 2.033 sq.ft.
Number of Bedrooms 4
Run-Time Percent in Each 4-Hour Segment 1009'x,
Is the system Balanced? Balanced Verity system meets definition of Balanced Whole-House Ventilation'
Is the system Distributed? INot Distributed
Ventilation Code Section IRC,Chapter 15
Whole House Mechanical Ventilation Airflow Rate I 81 1dM
Show Distribution System Calculator?
HVAC Thermal Distribution System Download RS-33(2018)hit i/wvn.ene wsu.eduiDa ments/Duct%20Testin `/ OStandards`rd20 2018%20
Is this a hydronic heating system? No
Location of Ducts Unducted
Location of Air Handler Unducted
Is Duct Testing Required?No
Show Heating System Sizin ?Show
Heating System Sizing-Proposed Design Try Out BetterBuittNW's HVAC Sizing Tool:httrsdlbetterb eltnw,comfreso rces/hvac-5izino-tool
Nearest Weather Station Islietton
Indoor Design Temperature 70 F
Outdoor Design Temperature 23 F
Design Temperature Difference(AT) 47 F
Conditioned Floor Area,Proposed Design 2,033 102
Conditioned Volume 16,467 ft3 Average ceiling height=8.1 ft.Volume=16467 ft3
Leave blank to use de'ault of 8.5 ft.millet height
Average ceiling height 8.1 ft
HVAC System Type Heat Pump
Location of HVAC Distribution System Unducted
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WSU Code Compliance Calculator,WSEC 2021
Sum of UA I227
Envelope Heat Load 10.659 IBtu/Hour
Sure of UA X aT
Air Leakage Heat Load 8.359 Btu/Hour
((Volume X 0.6)X 51)X.016))
Building Design Heat Load I 19,018 IBlu/Hour
A r Leakage•loveless Heat Loss
Building and Duct Heat Load I 19,018 Btu I Hour
For ducts located in unconditioned space.Suer Al Building Heat Loss X 1.1
For ducts located in conditioned space or ductless.Sum of Building Heat Loss X 1
Maximum Heat Equipment Output 26,625 Btu/Hour
Building and Duct Heat Loss X 1.25 for heat pumps 7.8 kW
Budding and Duct Cleat Less X 1.40 for all other systems
W SU_C32021_20241009-Mamor Lot 6.xism,Version:10/9/2024 4:07:13 PM 10/16/2024 6
a
MASON COUNTY
COMMUNITY SERVICES
Building,Planning,Environmental Health,Community Health
These requirements apply to all IRC building types, including detached one-and two-family dwellings
and multiple single-family dwellings (townhouses).
Contact Information Project Information
Owners Name: ite Address:
V-Y l.Q . c eY Z r
M ling Address: Parcel Number:
Zv *eJQc C-t. aui2 o z 5 0
Square Feet(total): Project Description:
2 w o v
Ventilations Compliance:
❑Whole House Ventilation system ❑ Whole House Ventilation
using exhaust fans Integrated with a Forced Air
System
Other, describe:
Instructions: This single-family project will use the requirements of the Prescriptive Path below and
incorporate the minimum values listed.Based on the size of the structure,the appropriate number of
additional credits are checked as chosen by the permit applicant.
Provide all information from the following tables as building permit drawings:Table R402.1- Insulation and
Fenestration Requirements by Component,Table R406.2- Fuel Normalization Credits and 406.3- Energy Credits.
Marine 4(Table R402.1.3)
Fenestration U-Factor b,J 0.30
Skylight U-Factor b 0.50
Ceiling R-Value a 60
Wood Frame Wall R-Value g' 20+5 or 13+10
Floor R-Value 30
Below Grade Wall c,h 10/15/21 int+TB
Slab d,f R-Value&Depth 10,4ft
R-values are minimums.U-factors and SHGC are maximums.When insulation is installed in a cavity which is less than the label or design
' thickness of the insulation,the compressed R-value of the insulation from Appendix A Table A101.4 of chapter 51-11C WAC shall not be less
than the R-value specified in the table.
b The fenestration U-factor column excludes skylights.
"10/15/21+STB"means R-10 continuous insulation on the exterior of the wall,or R-15 continuous insulation on the interior of the wall,or R-
21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall."10/15/21+STB"shall
be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or
exterior of the wall."STB"means R-5 thermal break between floor slab and basement wall.
d R-10 continuous insulation is required under heated slab on grade floors.See Section R402.2.9.1.
For single rafter or joist vaulted ceilings,the insulation may be reduced to R-38 if the full insulation depth extends over the top plate
` of the exterior wall.
R-7.5 continuous insulation installed over an existing slab is deemed to be equivalent to the required perimeter slab insulation when applied
to existing slabs complying with Section R503.1.1.If foam plastic is used,it shall meet the requirements for thermal barriers protecting foam
plastics
For log structures developed in compliance with Standard ICC 400,log walls shall meet the requirements for
` climate zone 5 of ICC 400.
Prescriptive Path—Single Family 2021 Washington State Energy Code-R
R
Int.(intermediate framing)denotes framing and insulation as described in Section A103.2.2 including standard framing 16 inches on
h center,78%of the wall cavity insulated and headers insulated with a minimum of R-10 insulation.
I The first value is cavity insulation,the second value is continuous insulation.Therefore,as an example,"R13+10"means R-13 cavity
insulation plus R-10 continuous insulation.
i A maximum U-factor of 0.32 shall apply to vertical fenestration products installed in buildings located above 4000 feet in elevation above
sea level,or in windborne debris regions where protection of openings is required under Section R301.2.1.2 of the International
Residential Code.
Each dwelling unit in a residential building shall comply with sufficient options from Table R406.2 (Energy
Equalization credits) and Table 406.3 (energy credits)to achieve the following minimum number of
credits.To claim this credit, the building permit drawings shall specify the option selected and the
maximum tested building air leakage and show the qualifying ventilation system and its control sequence
of operation.
1. Small Dwelling Unit:5 credits
Dwelling units less than 1,500 sf in conditioned floor area with less than 300 sf of fenestration area.
Additions to existing building that are greater than 500 sf of heated floor area but less than 1,500 sf.
2. Medium Dwelling Unit:8 credits
All dwelling units that are not included in#1 or#3
3. Large Dwelling Unit:9 credits
Dwelling units exceeding 5,000 sf of conditioned floor area
4. Additions less than 500 square feet:2 credits
All other additions shall meet 1-3 above.
— — — — — — — --- -------- -- —
Summary of Table R406.2
System Credits
Type T Energy Equalization Credits Select-ONE System Type
Single Family
_ ._...... — .....
1 For combustion heating equipment meeting
minimum federal efficiency standards for the 0.0 ❑
equipment listed in Table C403.3.2(5)or C403.3.2(6)
2 For an initial heating system using a heat pump
that meets federal standards for the equipment
listed in Table C403.3.2(2)and supplemental 1.5 ❑
heating provided by electric resistance or a
'combustion furnace meeting minimum I j
.standards listed in Table C403.35)b b
3 For heating system based on electric resistance only
(either forced air or Zonal) 0.5 j O
4` For heating system using a heat pump that meets
federal standards for the equipment listed in Table
C403.3.2(2)or C403.3.2(9)or Air to water heat pump 3.0
units that are configured to provide both heating and.
cooling and are rated in accordance with AHRI
550/590
5 For heating system based on electric resistance with
1. Inverter-driven ductless mini-split heat pump 2 0
system installed in the largest zone in the dwelling, or
2.With 2kW or less total installed heating capacity
perdwelling — —
b.The gas back-up furnace will operate as fan-only when the heat pump is operating.The heat pump shall operate at all temperatures above 38°F
(3.3"C)(or lower).Below that"changeover"temperature,the heat pump would not operate to provide space heating.The gas furnace provides heating
below 38"F
�(3.3"C)(or lower).
.Additional points for the HVAC system are included in Table R406.3.
Prescriptive Path—Single Family 2021 Washington State Energy Code-R
S
Energy
Options Energy Credit Option Descriptions Please indicate Details
p chosen credit
1.1 Efficient Building Envelope 0.5
1.2 Efficient Building Envelope 1.0
......... ......... --.---- ---
1.3 I Efficient Building Envelope 1.5
1.4 ;Efficient Building Envelope 2.5
2.1 ;Air Leakage Control and Efficient Ventilation 1.0
2.2 Air Leakage Control and Efficient Ventilation 1.5
2.3 Air Leakage Control and Efficient Ventilation 2.0
- - - - -..... ---..........__._._..._..
3.1' High Efficiency HVAC 1.0
- - .._......._.............._...__.............._...__...._....._.._.._.......__...__..........................__......................._..._. -- - ..._
3.2a High Efficiency HVAC 0.5
3.3a,c,d High Efficiency HVAC 0.5
3.4a,d High Efficiency HVAC 1.5
35d High Efficiency HVAC 1.5
3.6a High Efficiency HVAC 1.0
3.7a,d,e High Efficiency HVAC 2.0
3.8,,d High Efficiency HVAC 1.0
3.9 High Efficiency HVAC 1.5
3.10f High Efficiency HVAC 2.5
3.11c High Efficiency HVAC 0.5
4.1 High Efficiency HVAC Distribution System 0.5
5.1d Efficient Water Heating 0.5
5.2 Efficient Water Heating 0.5
5.3 Efficient Water Heating 0.5
5.4 Efficient Water Heating 1.0
5.5 Efficient Water Heating 1.5
5.6 Efficient Water Heating 2.0
5.7 Efficient Water Heating 2.5
5.8 Efficient Water Heating 2.5
6.1 Renewable Electric Energy(3 credits max) 1.0
7.1 Appliance Package 0.5
Total
Credits
a. An alternative heating source sized at a maximum of 0.5 Watts/ft2(equivalent)of heated floor area or 500 Watts,
whichever is bigger,may be installed in the dwelling unit.
b. See Section R401.1 and residential building in Section R202 for Group R-2 scope.
c. Option 3.11 can only be taken with Options 3.1 and 3.3.To qualify to claim Option 3.11 with 3.3,the system shall be a 1-2 speed
heat pump system.Variable capacity heat pumps are ineligible from claiming this option.
d. This option may only be claimed if serving System Type 4 or 5 from Table R406.2.
e. Primary living areas include living,dining,kitchen,family rooms,and similar areas.
f. Option 3.10 may one be taken with Efficient Water Heating Option 5.1 or 5.2.Equipment sizing for space
heating shall be calculated as provided in Section R403.7 with increased capacity to provide a minimum
of 75 percent of peak hot water demand or shall be sized in accordance with approved manufacturer's
specifications or guidance.Supplementary heat for water heating shall be in accordance with Section
R403.5.7
Prescriptive Path-Single Family 2021 Washington State Energy Code-R
0 Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
B DD2025-00527 NEW SINGLE FAMILY RESIDENCE
PROJECT DESCRIPTION: NEW HOME CONSTRUCTION IN MASON ISSUED: 07/02/2025
COUNTY WA.
SITE ADDRESS: 365 SE SNIDER RD SHELTON EXPIRES: 12/29/2025
PARCEL: 320255090544
APPLICANT: SCHERZ, KRAIG OWNER: KRAIG SCHERZ
9320 STEVENS CT NE 9320 STEVENS CT NE
LACEY,WA 98516 LACEY,WA 98516
1.253.353.9635
GENERAL CONTRACTOR'S LICENSE: MAPLES EXCAVATING License: MAPLEES775J7
911 SE ARCADIA Expires: 04/27/2027
SHELTON,WA 98584
360-229-3043
VALUATIONS: FEES: Paid Due
R-3 VB Residential, one- 2033.00 $340,263.21 Plumbing Base Fee $25.00 $0.00
and two-family Technology Surcharge $91.25 $0.00
U VB Utility, miscellaneous 400.00 $26,592.00 Mechanical Base Fee $30.00 $0.00
Building Permit Fee $2,731.68 $0.00
Planning Residential Review $275.00 $0.00
Fee
Residential Energy Code Fee $136.58 $0.00
Mechanical fees for new single $232.00 $0.00
family residences
Building Plan Review/Change of $140.00 $0.00
Use - Onsite Sewage
Plan Check Fee $1,775.59 $0.00
State Fee-Residential $6.50 $0.00
Plumbing fees for new single $232.00 $0.00
family residence
Total: $366,855.21 Totals : $5,675.60 $0.00
FIXTURES
Printed by:Amber Selby on:07/02/2025 09:31 AM
Page 1 of 8
Mason County
0 Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW SINGLE FAMILY RESIDENCE BLD2025-00527
City Mechanical Fixtures Q yt Plumbing Fixtures
1.0000 Dryer Vent(s) 1.0000 Number of Clothes Washers
1.0000 Kitchen Exhaust Hood(s) 1.0000 Number of Dishwashers
1.0000 For the installation of each hood which is served 1.0000 LAUNDRY TRAY
by mechanical exhaust, including the ducts for 1.0000 Number of Water Heaters and or Vent
each hood
1.0000 Ductless Heat Pump 2.0000 Number of Bath Tubs
1.0000 Heat Pump(s) 2.0000 Number of Showers
1.0000 Wood/Gas/Pellet Stove(s) 2.0000 Number of Toilets
3.0000 Bathroom Sink
5.0000 For each ventilation fan connected to a single
duct 3.0000 Number of Kitchen Sinks
5.0000 For the installation or relocation of each
suspended heater, recessed wall heater or floor-
mounted unit heate
REQUIRED INSPECTIONS
Setback Inspection Rough- Plumbing Inspection
Footing Inspection Framing Inspection
Foundation Wall-Pre-Pour Inspection Insulation Inspection
Underfloor Inspection Connection is to be verified by Health or Utilities
Exterior Wall Insulation Inspection BLD-Final Inspection
Mechanical Inspection
CONDITIONS
" All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor
increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way.
Printed by:Amber Selby on:07/02/2025 09:31 AM
Page 2 of 8
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW SINGLE FAMILY RESIDENCE BLD2025-00527
* 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/contractor is acknowledging that all components of the stormwater
management system have been installed as approved on the stormwater site plan. 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.
* 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
contact the Mason County Public Works Department prior to construction at Ext 450
* 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 ensure these structures are shown and meet the setback conditions listed.
* The plan review check list and corrections are part of the approved plans and must remain attached. It is the responsibility
of the applicant, owner or contractor to make the required 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
removal of approved documents will result in failure of required building inspections.
* WIND LOADS - Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind
speed for Mason County is 85 mph with 110 mph gust factor.
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Page 3 of 8
Mason County
Mason County - Division of Community Development
615 W. Alder St.
N C Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW SINGLE FAMILY RESIDENCE BLD2025-00527
Adopted Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option Marine -4C, Window (Max U-
Factor):0.30, Skylight (Max U-Factor):0.50, Doors (Type/Max U-Factor):0.30 or less, Wall insulation R-20+5ci, Floor
insulation R-30, Ceiling Insulation min. R-60, Vault Insulation R-38, and Slab Insulation R-10.
WSEC 5 - For heating system based on electric resistance with:
1. Inverter-driven ductless mini-split heat pump system installed in the largest zone in the dwelling,
or
2. with 2KW or less total installed heating capacity per dwelling.
WSEC 1.4 - Prescriptive compliance is based on Table R402.1.3 with the following modifications:
• Vertical fenestration U = 0.18
• Ceiling and single-rafter or joist-vaulted R-60 advanced
• Wood frame wall R-21 int plus R-16 ci
• Floor R-48
• Basement wall R-21 int plus R-16 ci
• Slab on grade R-20 perimeter and under entire slab.
• Below grade slab R-20 perimeter and under entire slab
OR
Compliance based on Section R402.1.5: Reduce the Total conductive UA by 30%.
WSEC 2.2 - Reduce the tested air leakage to 1.5 air changes per hour maximum at 50 Pascals, or for R-2 Occupancies,
optional compliance based on Section R402.4.1.2: Reduce the tested air leakage to 0.20 cfm/ft2 maximum at 50 Pascals.
AND
All whole house ventilation requirements as determined by Section M1505.3 of the International Residential Code or Section
403.8 of the International Mechanical Code shall be met with a heat recovery ventilation system with minimum sensible heat
recovery efficiency of 0.75. Note: Provide Manufacturer Specifications at or before Frame/Combo Inspection
WSEC 5.6 -Water heating system shall include one of the following:
Electric heat pump water heater meeting the standards for Tier III of NEEA's advanced water heating specification.
Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance
with Mason County Code 14.28 and 14.17.
* 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 with a county maintained public road or to
another fire apparatus access road which connects to a county maintained public road.
* When parcel development requires direct access to county road(s), a Road Access Permit or Approval must be granted by
the Mason County Department of Public Works. 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.
For more information contact Public Works, at(360) 427-9670, ext. 450 or 100 W Public Works Dr. Shelton. The building
permit will not be finaled until the permit holder can show proof that the access permit from Public Works has been finaled
and approved.
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Page 4 of 8
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW SINGLE FAMILY RESIDENCE BLD2025-00527
* Concrete encased grounding electrodes must be installed and used at each new building or structure that is built upon a
permanent concrete foundation. In Mason County the electrical code is regulated by Washington State Department of Labor
& Industries (L&I).
For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415-
4000.
* When parcel development requires direct access to state road(s), a Road Access Permit or Approval must be granted and
approved by the Washington State Department of Transportation. For more information contact Washington State
Department of Transportation, at(206)357-2620, ext. 630.
* All construction must meet or exceed all local and state ordinances in addition to 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 revocation.
* 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).
* All building permits shall have a final inspection performed and approved by 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 County ordinances and building regulations.
* All property lines shall be clearly identified at the time of foundation inspection.
* 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.
* The stamped 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, 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.
* A permanent certificate, completed by the builder or registered design professional, shall be posted on a wall in the space
where the furnace is located, a utility room, or an approved location inside the building. When located on the electrical panel,
the certificate shall not cover or obstruct the visibility of the circuit directory label, service disconnect label, or other required
labels. 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 Chapter 4, and air leakage
results of the blower door test conducted.
Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 5 air
changes per hour when tested with a blower door in accordance with WSEC Section R402.4.1.2.
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 500 square feet. Reference WSEC R402.4.1.2.
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 20 Certificate" and are
available in 1/4 or%sheets.
* The use, handling and storage of hazardous materials or flammable and combustible liquids is not allowed without the
approval of the Mason County Fire Marshal.
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Page 5 of 8
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW SINGLE FAMILY RESIDENCE BLD2025-00527
Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer
specifications and in accordance with IRC Section R315.
Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level
of the dwelling.
EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of
fuel burning appliances), repairs, or additions requiring a permit occur, or when one or more sleeping rooms are added or
created.
* 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 1-800-647-0982. The person signing this condition is either
the homeowner, agent for the owner or a registered contractor according to WA state law.
* Installation of heating equipment in a single-family residence shall meet the requirements of the current WSEC R403,
applicable sections of the IRC, and IMC.
Heating equipment shall be sized in accordance to ICCIWSEC, Section R403.7. Heating and design load calculations for the
purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted practice, including
infiltration and ventilation. Design calculations shall be available for inspection during inspection.
Referencing IRC M1601.4, all ducts, air handlers, filter boxes, and building cavities shall be sealed..All joints of duct
systems and seams shall be made substantially air tight by means of tapes, mastics, liquid sealants, gasketing or other
approved closure systems. Closure systems used with rigid fibrous glass ducts shall comply with UL181A and shall be
marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape. Closure systems used
with flexible air ducts and flexible air connectors shall comply with UL181B and shall be marked 181 B-FX for pressure-
sensitive tape or 181 B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings
shall be mechanically fastened. Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181B
and shall be marked 181 B-C. Crimp joints for round metal ducts shall have a contact lap of at least 1-1/2 inches (38 mm)
and shall be mechanically fastened by means of at least three sheet-metal screws or rivets equally spaced around the joint.
Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation
instructions.
Duct tape is NOT permitted as a sealant on any ducts. When ducts are located in unheated spaces the ducts hall be
insulated to R-8
DUCT TIGHTNESS TESTING shall be conducted by person(s)trained to perform such testing. A signed affidavit
documenting test results in accordance to IECC/WSEC Section R403.3.3 shall be provided to the Mason County Building
Department prior to the final occupancy inspection. Affidavit forms are available on at the WSU-Energy Program website
titles, "Duct Leakage Affidavit" or"Duct Leakage Testing Results (Existing Construction)." Duct tightness testing is not
required if the air handler and all ducts are located within the heated space.
* All RED stamped 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. Ir5 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 further inspections
being performed or approvals granted.
* The foundation/footing must be placed on undisturbed, firm-native soil. Proper frost depth, minimum 12 inches, shall be
observed below grade in undisturbed soils.
* All changes to "approved"building plans that effect compliance with the international codes as amended and adopted, or
any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
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Page 6 of 8
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW SINGLE FAMILY RESIDENCE BLD2025-00527
* Disclaimer: Mason County does not require a survey to obtain a building permit. As a result, site plans may not reflect
accurate data. It is the applicant's responsibility to comply with setback requirements.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the farthest projection of the
structure. Front setbacks are measured from the front lot line or road easement boundary, whichever is closer.
* Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate
building permit and approval prior to construction of the retaining wall.
* All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building
Official may grant one or more extension of 180 days, upon the receipt of a written extension request prior to permit
expiration. Letter must indicate that circumstances beyond the control of the permit holder prevented action from being
taken.
* A minimum of 90 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance
with IECC/WSEC Section R404.1.
* 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
contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained
permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County
access to the above described property and structure(s)for review and inspection. This permit/application becomes null &
void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of
180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION UNLESS OTHERWISE APPROVED.
* 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 shall be made prior to requesting
additional inspections.
* 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.
A drip edge shall be provided at eaves and gables of shingle roofs.
* All other necessary permits from Mason County, Washington State, Federal Agencies, and/or other agencies/groups that
are required for this proposed development and construction must be obtained PRIOR TO DEVELOPMENT AND
CONSTRUCTION.
* Buffers to critical areas (streams, shorelines,wetlands, slopes)shall be retained in natural vegetation or a legally
established non-conforming condition. Removal of natural vegetation in the buffer is prohibited.
* Setbacks are measured from the furthest projection of the structure.
* Applicant/Owner assumes all responsibility if On-site Sewage Components are 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/Perimeter Drains within 30ft, down gradient of Drainfield/Reserve area.
D.) No Cut Bank(s) (greater than 5ft and over 45 degrees)within 50ft, down gradient of Drainfield/ Reserve area.
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Page 7 of 8
Mason County
0 Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW SINGLE FAMILY RESIDENCE BLD2025-00527
" 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 and shall be collected by the
Building Department prior to any further inspections being performed or approvals granted.
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances go nin this type of work will be complied with whether
specified herein o ot. T granting of perm oes not presume to give authority to violate or cancel
the provisions a y oth state/lo w re ating construction or the performance of construction.
Issued
Contractor or Authorized Agent: Date:
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Page 8 of 8