HomeMy WebLinkAboutBLD92-0032 SFR - BLD Permit / Conditions - 5/28/1992 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1::3 L_j l." N..... 1_3 :1 1,41 9iiii N :' 1::::. 1�. N'wN ::N:: N FOR INSPECTIONS CALL 427-9670
OLD92-0032 PARCEL : 323047590050 PLAT : DIV: BLK : LOT :
JOB ADDRESS : . . . . . . . . . . . . . . .
OWNER : ALEX DEGIOVANNI 712-323-0213
CONTRACTOR : **CONTRACTOR RECREATED**
L E G A L : TA $-A IF SNAP 13/231 T1 A OF SP #1912 FS 11219:5:A
CLASS OF WORK . . : NEW BEDR : 1 . BATH : 1 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . : SF STORIES . . . . . . . : 1
OCCUP . GROUP . . . : R3 BLDG . HEIGHT. . : Oft PRMT $ 111.5i PIB 15/28/92 31541
TYPE OF CONST . . : 1FR FIREPLACES . . . . : 0 PLM $ 13./1 PI8 05/28/92 31541
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 MCH $ 22.10 PIB 15/28/92 3#541
DWELL . UNITS . . . . : 1 PARKING SPACES : 0 STFE $ 4.51 PIB 05/28/92 31541
INSPECTION AREA : 3 SHORELINE? . . . . : ? PICK $ 25.11 PIB 05/28/92 31541 TOTAL: 175.10 VALULATI0M 1
SETBACKS-------------- TOILETS . . . . . . . . . . : 1 FUEL TYPES----------- BOILERS/COMP---- MOBILE HOME--
FRONT . . . ? Oft BATH BASINS . . . . . . : 1 : /OTH/ / / : 0-3 HP . : 0
REAR . . . . ? Oft BATH TUBS . . . . . . . . : 1 3-15 HP . : 0 MODEL : ?
SIDE (1 ) . ? Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------
SIDE (2) . ? Oft WATER HEATERS . . . . : 1 FURN >=100K BTU : 0 30-50 HP . : 0 ?
SHRLINE . ? Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 1 HEAT PUMP . . . . . . : 0 ?
LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 396sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#----
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O ?
GAR/CARP : ? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm. : 0 RELOC/REPAIR : 0
AT/DT . : ? URINALS . . . . . . . . . . : 0 > 10000 cfm. : 0 OTHER UNITS . : 1
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRIPTION:RESIDENCE
PROJECT L01ATI0N:III NORTH MILE 322 LEFT BEYOND H A 9 M A RI06E TOP OF HILL LOT 5C
THIS PERMIT BECOMES MULL A N 0 VOID IF WORK OR TRUCT10N AUTHORIZED IS NOT COMMENCED WITHIN 181 DRYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
IF 181 DAY-6 AT ANY TINE AFTER WORK IS COMMEN D. EVIDENCE OF CONTINUATION Of WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAL INSPECTION MUST BE
APPROVED BEFORE;7� 1
OCCUPIED.
)WNER OR AGENT: DATE: ��-
3LD_PRNT, rev: 83/31/91
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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OLD92 -8032
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CONCRETE MECHANICAL ^ MOBILE HOME
Footings-Setbad, date by-,, Ribbons
data by ' Gas Piping date b
Fo Andati ,�v/� date by Set Up
da!e a by / I �+C. INSULATION date by
BG/SLAB Insulation Floors Final
date by date g f by Z date by
FRAMING Wall FIRE DEPT.
date 9 1 201�Z by date by date by
PLUMBING Attic OTHER
Groundwork
d date by
ate by
D.W.V. WALLBOARD NAILING
date �'02 ' by date �3r'3 2 by DA
Water Line FINAL IN PECTION
date Z a S Ids by date date by
7/ WV facALTpve ata
A F' C
5/14/2004
Case Activity Listing 9:59:53AM
11 Case#: BLD92-00032
014
Assigned Done
Activity Description Date 1 Date 2 Date 3 Hold Msp To I3v t pdated t pdated 11%
BLDB110 Structural Plan Review 4/9/1992 5/3/1992 None DONE RDL 6/6/2000 1 111
APPLICANT HAS TALKED TO BOTH ROB AND WAYNE
BLDB200 Environmental Health Review 5/12/1992 5/26/1992 None DONE MMT 5/27/1992 MM I-
Approved conditionally based on lot size and approved septic permit
BLDA350 Notify applicant-changes 4/25/1992 5/26/1992 None COMP TLG 5/26/1992 DJK
Applicant must come into Bldg Dept.and review permit with Wayne Krause. Plans are insufficient,return permit to Bldg Dept.once Health review is complete.
BLDC140 Fr/Pl/MC/Pen Inspection 6/29/1992 6/30/1992 6/30/1992 None NOT RL 7/1/1992 RDL
BLDC140 Fr/Pl/MC/Pen Inspection 7/22/1992 7/22/1992 7/22/1992 None FAIL DWH 7/22/1992 DWH
framing ok gave go ahead to insulate,DWV not under load penetrations to be done better,tub vent looks strained make determination with system under load
BLDC140 Fr/Pl/Mc/Pen Inspection 7/28/1992 7/28/1992 7/28/1992 None OK DWH 7/30/1992 DWH
corrections made 07/28/92
BLDC250 Permit Extension 2/1/1993 2/1/1993 2/1/1993 None DONE RL 2/11/1993 FVC
BLDC100 Inspection 4/22/1993 4/22/1993 None COMP RDL 4/23/1993 RDL
need SD 110 Volt.
BLDC155 Final inspection 6/15/1993 6/15/1993 None COMP RDL 6/17/1993 RDL
Page 1 of I CaseActivity..rpt
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST 1
1991 WSEC AND V&IAQ CODE COMPLIANCE
PERMIT NUMBER LEGAL
NAME ON PERM[Td 7 Gn► % e—?, PHONE # L1�
COMPLIANCE METHOD: ( prescriptive ( ) Component ( ) Systems Analysis
1q)c29 :- 0-1-aL-Q 6�v,w
Insp. Rev. Z$'2.s -- '�f1S��S FOUNDATION
/ ) ( Slab: R- (Ext.foundation down to frosdine/slab bottom;or interior 24"top of slab&horizontal. Radiant under entire.)
\( ) ( ) Below grade exterior wall insulation: R-
( ) ( ) Cr^wls ace ventilation: (1 sq.fL YFA/150 sq.ft.floor area-cross vented)
FRAMING
Intermediate ( ) Advanced
( ) Woodstovt and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.)
( ) Standard air,
( � al: (Bottom platy/subf7oor,rim joist/mudsill,window/door frames,penetrations condition to non-condition.)
ttic ventilate, 1150
(1 sq.ft.ti sq.ft.ceiling area with 50/50 split UBC 3205-C) =�. (03 NFL
( � ( pot exhaust t (4"exhaust-bath/laundry 50 cfm @.25 WG;kitchen 100 cfm 9 .25 WG. Vented out with dampers.)
fresh air Veiliila n: Available to all habitable rooms. Installed and operational.
(� �^ t •
( (Whole house exh,t fan: JC.% ctm✓+(Intermittent system manual&auto controlslsooe less than or=to 1.5 at,1 WG)
( ) ( ) Integrated forced-system. Outside air duct(with damper)allowing between.35&.5 ACH.
INSULATION
( � --Wall insulation (abov,.
ads) R- /'�? (Bata face stapled)
( ) ( ) -Wall insulation (below de - interior) R-
/ ( � (Batts face Stapled)
( �( Vapor retarders on wall:ed hart,or 4 mil poly or pert,,.paint.)
( 111 m joist (Insulated with valor r` .rigid foam and caulked or 4 mil poly.)
) ( ) f;'�"`,�,`'� �t t��er _l�c��b��►d pru►.�bly
( ,) ( Floor insulation R- substantial contact w/surface•supports less than or=to 24"OC•,not blocking vents.) 1 LOVE✓1
� ( �Ceiling insulation R- Weatherstripped access/hatch insulation/and rigid access dam-no cardboard.)
( Vaulted ceiling insulation R- h; S Plow
( ) (Vapor retarder& 1"air cc
(� ( �
Mechanical ventilation ducts �— � ) ,`�.5�la9lv�1
'zhaust to unconditioned space&supply in conditioned space.) G f 1 C!$
( ) ( ) ducts in unconditioned R-g (Joints Sealed)
(� ( Pipe insulation R-3 Htx and cold line.mditioned areas(service or recirc.see Table 5-12).
( � ( �HW heaters: (NAECA label.separate N
is shut-off,on R•10 pad if electric in unconditioned or o concrete.)
( ( Heating system type: �i e^S� Z- ALL.
Heat pump, list size, HSPF. and C'
�f Ckivlto.�
Indoor model # Outdoor model #
FINt
( � ( Radon monitor on site with instructions.Thermostat: (Heat ranee 55-75;AC 70-85:both 55-35•eat at)controls(lockout)prevent simultaneous operation of
\ primary system.)
( ) ( ) Solid fuel app1S.: (Glass/metal tight-fitting dtxxs;dir.c
\ ( Ground cover: (6 mil black polyethylene or approved equurce,or 4"dia.dampered,indir.source for existing coast.)
( ) ( penetrations (All exterior wall and ceiling penetrations sealed"at Joints,extending to foundation wall.)
0 24" on center is code. Twine is recommends(
Less than or equal to _ )rts at 12" on center.
GLAZING
P!fn Reviewer -Fill out this glazing section or attach a window schedule to this checklist. Iiripector• Verify window
-:,formation during field inspections. Include skylights. °lass doors and all other glazing on this form. Use rough opening
area for calculations.
Size Quantity Area Sq. Ft. U-Value Manufacturer Rev. InSp,
ER
I 4/5
2 6 'Y Z 6 SN
7, 2.
AW/Y t I
r _
Total glazing area:
Total conditioned area:y
Verified:
-_
Percentage glazing: Verified:
D0
Plan Reviewer-List opaque doors t �
b y type (solid core, insul� .)quantity, U-value,and manufacturer. j� t
pec or -
Verify door information during field inspection.
Manufacturer
Type/Quantity U-V Rev. Insp.
Signature of Building Inspector. Date of Final Inspection:
BUILDING PERMIT APPLICATION '�Ut2'oo�
l MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
_ A
0� � 427-9670 DATE ISSUED Z
7 l�. ))
PERMIT NO.t J(�I D 2,2de3z,
NAME MAILADDRESS CITY ATE ZIP PHONE_45-6_
OWNER G
03
DIRECTIONS Sw%rid °� 7N c�sr•
TO JOB SITE -��C A3Z3 -G R
PARCEL LEGAL
NUMBER �Z?j d DESCR. _
NAME IL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE i
WORK , 1 Z
1
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE&qlzSgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES. COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED O DETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
1 CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS P MIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANC THEREWITH N CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPR AL FROM T B LDING DEPARTMENT. d APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNE XBY_ DATE
FOR OFFICE USE ONLY
DEPARTMENT YES NO
NO DEPARTMENT YES NoBUILDING VALUATION J 3t1Z
HEALTH M j PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT C
D.O.T. BUILDING k PLAN CHECK
SPECIAL CONDITIONS BUILDI G GROUP PRE-INSPECTION
d !tom SHORELINE
,. WOODSTOVE
I'i < PLUMBING
MECHANICAL
<<� �,� r ' *I T STATE BUILDING FEE
APP A N ACCEPTED BY PLANS CHECK BY AP V D FOR ISSUANCE PERMIT VALIDATION
TOTAL �
3 Q 'DK_ CASH CK MO ��� O0)
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY STATE ZIP PHONE
OWNER 1. — 1�l 1JC�. _ G yzcAi_
DIRECTIONS
TO JOB SITE Z ���
LEGAL
DESCR. �� FG G l! C-1 L-
CONTRACTOR ME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE
WATER CLOSETS ,_ — FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS e FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS,2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS FIRE SUPPRESSION 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL /3, TOTAL LZ-cC
SPECIAL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED.
OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTRACT OR REGISTRATiON LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE
COUNTY ORDINAN REQUIREMENTA FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WIL E N CONFO N THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH, NO CHANGES SHALL BE MADE
WITHOUT FIRST BT IN ROM THE BUILDING DEPARTMME`NT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER TE 'Z�7 Z X BY _ DATE_
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY @W,�DING GROUP APT FO SUANCE PERMIT VALIDATION
3 ) BY CASH CK MO
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 oar iSSUEo
PERMIT NO.
AME WiL ADDRESS CI 7Y 3 STATE ZIP PHONE
OWNER 3&LE]IFS J�t
CNS �r1��3 2
70 JOE -� Q
TO JOB SITE Q
ZZ
NUMBER
NUMBER
Indicate below: O Propery lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area or sewer.
O Septic tank and drainfield setback distances from foundations.
O Location of proposed construction on property.
O Building & septic system setback distances from all property lines easements.
Indicate North O Well and water line.
O Saltwater, lakes, rivers, streams, wetlands, drainage.
In Circle O Attach copy of septic system "as built' or septic permit-approval.
O Indicate topography profile of property and structure on reverse side.
I III i I11
411 1 1 i I
I.
I
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! ! ! S ! ! I ! ! I ! 1 I
I/':JB CQ.';`4/ •�3;:�d.. ..e Jse'_'�o r.s:,.:caCn w' ,:r-� _ .:r7e^s•ons and .;s2s abop and;nat no cna,.Ses Hill be '^a=e'xit`Jl:',�if3f Jb'ai^inG 3,^.��J'•3�.
TOPOGRAPHY PROFILE OF PROPER i�,,ND LOCATION OF STRUCTURE
I I ( I I
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� II III
MASON COUNTY
DEPARTMENT of HEALTH SERVICES
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton,Washington 98584
(206)427-9670• Belfair: 275-4467
Seattle:464-6968 • Other: 1-800-562-5628
environmental health personal health water quality
MEMORANDUM
DATE:
TO: Qu;Ij;,�
FROM: Moktk i v M s M T-
RE: 1onj;k;oA.,j pplaLq 1 PARCEL. # 3 a Soy -7 S 900s-D
Your building permit has been reviewed and is conditionally approved. The
conditions are as follows:
❑ Den/storage/recreation room will have to be recorded with the deed as
non-occupancy. The total number of bedrooms cannot exceed ;
unless sewage disposal system is upgraded.
❑ No septic records owner/builder assumes all responsibility if drainfield
area is encumbered (applies only to out-buildings/decks not residences).
❑ Septic records and plot plan do not match; called owner who verified
that plot plan was accurate and building does not encroach upon
drainfield. Owner assumes all responsibility if building encumbers
drainfield.
Other: Ttc �',_ s J, w;ll ,n«1 {� �e l In5i�,(�,d ./1,or
oc v c owo Ck 0V4( f4 a !'64-atc,e5`
a p+ova seplc�C
❑ Your building permit has been reviewed and cannot be approved until the following
problems are resolved:
❑ Septic system is for bedrooms and building plans indicate
bedrooms; will need to upgrade sewage disposal/treatment system or
decrease the number of bedrooms.
❑ Plot plan indicates that building will be on top of sewage
disposal/treatment system this is a violation of WAC 248-96-100.
❑ Other:
I
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APR 3 01992
GENERAL SERVICE
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