HomeMy WebLinkAboutBLD94-0139 SFR - BLD Permit / Conditions - 7/7/1994 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
IL... If.:::N ::II:: IP'.dl il:::iii 0 "' 0::: O;iC II111'N :,IC: 11 F O R INSPECTIONS CALL 4 2 7—9 6 7 0
BETWEEN 5pm AND 8am 427-7262
BL094-0139 PARCEL : 420182400030 PLAT : DIV .. BLK : LOT .
JOB ADDRESS : W 140 HIGHLAND RD SHELTON
OWNER : DON LIKES 427-5940
CONTRACTOR : OWNER IS CONTRACTOR
L E G A L : SW SE NY FS 18457
CLASS OF WORK . . : NEW BEDR : 3 . BATH : 2 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . : SF STORIES . . . . . . . : 2
OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : 0 . 0 f t R A 0 N s 8.00 TW 07 e7J94 36448 S 186.00 TW O7JO7j94 36448
TYPE OF CONST . . : ? FIREPLACES . . . . : 0 STFE j 4.SO TW O7JO7J94 364
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 P L M 60.00 TW 07 JO7 J 6448
DWELL . UNITS . . . . : 0 PARKING SPACES : 0 Run, 57.00 TW 07 94 36448
INSPECTION AREA : 2 SHORELINE ? . . . . : N P T 372.00 T O7J07J94 36448 TOTAL: 687.50 VALULATION: 72832
SETBACKS-------------- TOILETS . . . . . . . . . . : UEL TYP 5---------- BOILERS /COMP---- MOBILE HOME--
FRONT . . . ? 0 . 0ft BATH BASINS . . . 2 : ? 0-3 HP . : 0
REAR . . . . ? O . Oft BATH
TU . . . . 2 3-15 HP . : 0 MODEL : ?
SIDE ( 1 ) . ? O . Oft SHOWER . . . 0 RN < 100K BTU : 0 15-30 HP . : 0 —MAKE------
SIDE (2) . ? O . Oft WATER HEAT R . . 1 FURN >=100K BTU : 0 30-50 HP . : 0 ?
SHRLINE . ? O . Oft CLOTHE WAS S . . : FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------
AREA ---------------- KITCHE SI S . . . 1 HEAT PUMP . . . . . . : 1 ?
LOT SIZE . . : ? FLOOR DRAINS . . . . . 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 3520sf DRINKING FOU . . . : 0 VENT FANS . . . . . . : 3 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TR S . . . . : 1 DOMES . INCIN : O —SERIAL#----
DECKS . . . . . . : Osf DISHWAS RS . . . . . . : 1 AIR HANDLING UNITS-- COMML . INCIN : O ?
GAR/CARP : C 484sf GARB SPOSALS . . . : 0 <= 10000 cfm. : 0 RELOC /REPAIR : 0
AT/DT . : A URINALS . . . . . . . . . . : 0 ) 10000 cfm. : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DES R C IPTION:RESIDENCE
PROJECT L0CATI0N:SHELT0N-MATL0CK ROAD TO HI6HLAN0 ROAD, TURN LEFT FIRST ROAD ON RIGHT WHICH IS DRIVEWAY TO RESIDENCE.
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 0 C C U P D.
OWNER OR AGENT: DATE: — l�
BLO_PRMT, rev: O3J 1 di COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
I
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
C::P IP""dI IF31 :::If.:: ..IL... ::q:::
Case No . : BLD94-0139
For : DON LIKES
Page : 1
1_V�U,Approved per site—plan .
2 ) All approved plans are required to be on—site for inspection purposes . If inspection
is called for and plans are not on site , Approval WILL NOT be granted . In addition , a
Re—Inspection fee in the amount of $30 . 00 per hour (minimum 1 hour ) will be charged and
must be collected by this department prior to any further inspections being performed or
approval grQ
X �-- Q-4
3) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 ( C ) AND SECTION 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REIN5PECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
4) ALL CONSTRUCTI MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
REM ITS
X
5) Proposed structure or portions thTpi
f with an projection over 30" in height from grade
line , must maintain a se a ;ati �t�nce between adjacent structures and that
furthest projection . X -
6 ) Changes to approved build ng plans that effect compliance to the 1991 Washington State
Energy Code , 1991 Ventilation and Indoor Air Quali
Code , the Uniform Building Code and/or Mason Coun e ul too st
be approved by Mason County prior to constructionX
7 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS R QuIRE� E MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE . x
r �
1
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MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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filif i MATT Of 1,00 S NIJI I AND V8111 If 4041, OR t:4KSTI,01 I fit$ 41114,111 f v 1 0111 t P N 0 14 1 F[I WIIH 4 180 0A il— tip If I 00*;IRIII' 1100 111, 110"1 1'i 30 t,10 t 0 1 it f! A J.-r v 1 1;
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons IC'/ �. /��r
date by Gas Piping date -- f� b _A%/f/
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date o by/t w**694 ate by
/-2/—cl6 -ecY.. -4 mar G ee�nb./4 Aom-le- -Co04-;- 4as 4,X�VL rc�� {tip
ZA 7cam 4.� ,vow s� U5- /pvk.l�
•
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I .
1)0 R S IJANI 10 1991 UNUORN 1011110INu tooln , nicit "N 30htti nmo KFUll "m K l f All ni
HAVE APPROVLD NUMBLY" OR AODW14414 PROVI Ill. P FN 411CH A 1`04111 "N n4 Un w PlAiNt
AND I 1161HI If V R 0 M I IF t 1 1 k I: L 1 0 R k 0 A 0 f ICON I I N 5 1 Hi P 0 0 P V R I Y M N N I y H 11 1 1 D
DrPAP IMF NI RFOUIR12% THAt 1111 Hl 10MVIIIIII PIR ) "k In IAI ! fNh FOk ANY % it! IN4101111 "t
INEINSPEGFION FEE . HASIO ON RAFPS IN VAHU !A "I I If 1 1 "41 ON11 "AM HH11DINU ' ODF Will
ASSPSUP IF OWILN/LONIPACI "R Until 10 POnt ADDV! : "M nIll Ph IOU In plollfNIIN11
I .N.1 P E c I f 0 N S
4 ) ikl I f ONS IRUC F1( N MH F MVII "If I' ALIFIA All IOCAt 1 "Pin AMP "N'
44, 114 F V NJ S
"ith an pt "jvtfin" o"ei AN" in hptqht Ir,m
Imp . mu"I maintain a h-..
arl! "r O a"t n1l " f"laq and Ihm ,
f"rLhpat projection . XIT
to opproved but I ,i'ljl h a f I ar. r r%fFRfi I i
tnvrqy Cod- , 1941 vontil rat iran and f"d"Ov Ail O"altQy
tho "niform Hui Idi "q coda and /or Ivin4olt v I(I 1'�-V_ J 4,:i
bw appro—d by Mato" f oo" Iy p1wr I " v on I r"r I
CON 51RUCTION Hf 11FIN LORITFU11D An WX011 I kl ri �I'l i\ MAn"N UOHNly mhfllplmli
DFPAhFMFN ! AND "NIUkRivi H1111 H I N o C"111
CONCRETE MECHANICAL MOBILE HOME }
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwcrk Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
Date Checklist Prepared Cc--1-`i
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE
Permit Number O y-0139 Address t-J 140 "c In la.ya Z�A. Sq. Ft. ZED
Name on Permit (.i ku..15 . �,� Contractor/Phone# 4 Z1-59e4 c)
Compliance Method: 40) Prescriptive -a- (Option) ( ) Component O Systems Analysis
orvtA Pula-S.
Date FOUNDATION
Insp. Rev.
( ) ()Q Slab: R- ID (Eat.foundation down to frostline/slab bottom;or interior 24"top of slab&horizontal. Radiant under entire.)
( ) (X) Below grade exterior wall insulation: R- 10 URA�-l of i yv4,e_r i or-
( ) ( ) Crawlspace ventilation: (1 sq.ft.NFA/150 sq.ft.floor area-cross vented)
FRAMING
Standard ( ) Intermediate ( ) Advanced
Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.)
( ) (79 Standard air.seal: (Bottom plate/subfloor,rim joist/mudsiil,window/door frames,penetration condition to non-condition.)
( ) (X) Attic ventilation (1 sq.ft.hTA/150 sq.ft.ceiling area) t 1ZO , 050 = 7 6
( ) (X) Spot exhaust fans: K'exhaust-bath laundry 50 cfm @.25 WG;kitchen 100 cfm @.25 WG. Vented out with dampers.)
Fresh air ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.)
( ) (X) *Whole house exhaust fan: cfm(Intermittence /mannual&auto controls/sone less lhan pr=to 1.5 at.1 WG) .
INSULATION
Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6"
above bait insulation)
Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.)
Wall insulation(above grade) R-k—(Batts face stapled)
( ) (K) Wall insulation(below grade-interior) R-V— (Batts face stapled)b rk 1A'10 L%-1C-,r-00r
( ) 6 e) Vapor retarders on walls (Faced bats,or 4 mil poly or perm paint.-circle one)
Rim Joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly.)
( ) ( ) Vaulted ceiling insulation R- (Vapor retarder&1"air space)
FINAL
( ) Floor insulation R- (Substantial contact w/surface,supports less than or=to 24"OC,not blocking vents.)
( ) (>Q Ventilation system is operational(spot,whole house,fresh air to all habitable rooms. If integrated system,certification by installer is
required.)
( ) G<) HVAC ducts in unconditioned areas R-8(Joints sealed;mechanically fastened with a minimum of 3 fasteners.)
( ) ( Pipe insulation R-3 (Hot and cold lines in unconditioned areas-service or recirc.see Table 5-12).
SHW heaters: (NAECA label,separate power or gas shut-off,on R-10 pad if electric in unconditioned or on concrete.)
( ) (X-) Heating system type: - 1�t.t..VWP flZ I$ 1-<t&) -
( ) (?< Radon monitor on site with instructions.No. - Supplied by MCBD
( ) M Thermostat: (Heat range 55-75;AC 70.85;both 55-85. Backup heat controls(lockout)prevent simultaneous operation of primary system.)
( ) (X) Solid fuel appls.: (Glass/metal tight-fitting doors;dir.comb.air source,or 4"dia.dampered,indir.source for existing coast.)
( ) ( Ground cover: (6 mil black polyethylene or approved equal lapped 12"at joints,extending to foundation wall.)
Penetrations(All exterior wall and ceiling penetrations sealed to drywall-plumbing,exposed beans,wall receptacles,fans,recessed lights.)
( ) (}4 Ceiling Insulation R- zO (Insulate&weatherstrip access,baffle to prevent spillover-no cardboard)
( ) (� Vapor retarder paint if a vapor retarder was not installed when insulation was installed.
GLAZING
Plan Reviewer-Fill out this glazing section or attach a window schedule to this checklist. Impector- Verify window
information during field inspections. Include skylights,glass doors and all other glazing on this form. Use rough opening
area for calculations.
Date
Size Quantity Area S . Ft. U-Value Manufacturer Rev. Insp.
30,50 II ZID MLA I/1Gt C
z(- I i 30
I 0C10 I t Z
3C'z� vacs I Co
i rl i kVVA
Total glazing area: � 3
AZ)aAc 1-P— TV1rL�— Total conditioned area: ZZL-}O
Percentage glazing: �J� /O Verified:
DOORS
Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. Impector-
Verify door information during field inspection.
Date
Type/Quantity U-Value Manufacturer Rev. Insp.
3V�p� �Yl W1 (A WL1.1.
Signature of of Building Inspector: Date of Final Inspection:
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION �Aa�
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Owner Phone# 04 h 41-1—S
Site Address H l Fire District#
City J St Wo, Zip c18
Directions to Job Site
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records. /
Connect to Septic? ✓ Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel NoAZOls - 2.4 -
Legal Description L-
#5 Building Square Footage: (existing/proposed)
1st FIL IZO 4ft=2nd FI / '3rd FI / Loft /
Basement 117-0 / &on Deck Zy0 00
(�9 tr*-L)8# Brooms / _#bathrooms-
Garage / Carport / e�A- (Circle' a Detached?)
Other sq. ft. /
#6 Use of building Q�l(,���',r?i Describe work
#7 Type of Job: New ✓Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make M
Length Width rial No.
# Bedrooms throoms Type of Heat
Purchase Pri
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other L)/P,—
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
�rT
i�
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No.I-Toilets 3 / CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins 3 / Heatpump, Other
Bath Tubs No jLaL Fees
Showers 6 Furn BTU 6
Hot Water Htr Heatpumps
I Laundry Washer �j Vent Systems
Sinks Spot Vent Fans
_Floor Drains No. Boilers/Compressors
( Laundry Basins HP
Dishwasher _ No. Air Handling Units
_Disposal cfm#
_Urinals No. Fire Protection Systems
_Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ . Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL
MENCED. PROOF OF CONTINUATION OF WORK IS BY ®_
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
LZ
Environmental Health:
Building Plan Review O
I
Occupancy Group: - M 1 Type of Const: U
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check (�(�
Plumbing Fee °D
Mechanical Fee
Wood/Gas/Pellet Stove ��
Radon Monitor
Violation Fee
Site Inspection
Building State Fee ,56
Other
Other �oa�
Building Valuation: TOTAL FEE
l