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V z Tae m m 19 m m m I G ao sc = o.ten Q@ m m m i c m r H s O s rn ht Cn H Pit •V -G •V 3 0 O o •• •-z Pit O Z rn a 0 M "' s e .'Ft --( Gi a 7C rn H I�1 T zo H S -I X rn r r .. 3> 2 ( i •• Pit�T T o r ee •• ( ( •V ,o cn o ! T CONCRETE MECHANICAL MOBILE HOME Footi;gs-Setback date — �?� by Y Ribbons data -,1Ej- .)- by Gas Piping date b Fcrindation Walls date by Set Up rate 6-4?2 by INSULATION date by BG/SLAB Insulation Floors Final date by date —9Z by date by FRAMING Walls _ FIRE DEPT. date — by date by date by PLUMBING >r— Attic OTHER Groundwork date by date r�3—�Z b D.W.V. WALLBOARD NAILIN date by date by Water Line FINAL INSPECTION date b � date by �+� c�_ �z y date by i�ivr �R�u.�v Uooi2 ,eXii y`�v•r� r BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. N E MAIL ADDRESS p CITY&STATE ZIP NE . OWNER /.� pS DIRECTIONS lll TO JOB SITE py7`4 �plrp r Q. PARCEL .22 LEGAL � �o NUMBER ��3J" ? � a DESCR. //�'G�cr a, O AME MAIL ADDRESS CITY 8 STATE ZIP 'y�r4 PHONE LICENSE NO. CONTRACTOR ov r © � Z USE OF BUILDING CLASS OF NEW �/ ADDITION ALTERATION REPAIR MOVE REMOVE WORK r ' DESCRIBE WORK ( d'C7 >- AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE/�Ft STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS 3 PRIMARY RES.3 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS /dS� SgFt BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE -7SgFt ATTACHED DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I 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 PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OSTAININ PPROVAL FROM THE BUILDING DEPA5TMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNE D DATE Z� `y Z- X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES NO APPROVED DEPARTMENT YES NO '1 APPROVED 7 BUILDING VALUATION '5#571� HEALTH MT PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT 3® D.O.T. BUILDING C��tSea2 �} PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION TOO SHORELINE .5qo WOODSTOVE N� PLUMBING ssgy6. MECHANICAL O t "`1 c f e co t�5• STATE BUILDING FEE APPLICATION ACCEPTED BY PLANS CHECK SY APP D FOR ISSUANCE PERMIT VALIDATION Q,}�2Cr B t CASH CK MO TOTAL �J i� MASON COUNTY BUILDING DEPARTMENT 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE RESIDENTIAL PLAN SUBMITTAL REQ TS For processing of applications under the new Energy and IAQ Codes, it is imperative that the submittals include certain basic information. REQUIRED INFORMATION: 1. The application must be fully completed to determine compliance. 2. A window schedule must be attached. The schedule must show the make, model and tested U-values. Glazing class alone is no longer adequate. 3. The building plans MUST show the following: a) Framing to be used: standard, intermediate or advanced; b) All insulation and R-values; c) Type and location of vapor barriers; d) Location of the whole house ventilation fari and controls; e) Location and size of all other exhaust fans; fj Ail exhaust duct runs and their points of termination; g) The type and location of all outside air inlets; =�T i h) Termination point of appliance vents; - i) Location of all solid fuel appliances, fireplaces, and combustion air ducts; j) Location of furnaces, hot water tanks and other equipment. Y .. 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY SINGLE FAMILY RESIDENTIAL APPLICATION _.__.___. Site Address �l�a��' �s�v. Parcel# Lot 7— tS Subdivision s-n`- &W`' 5��"� [ ]New Residence [ ]Addition [ ]Remodel Area(sq. ft.): 1 st Story 2nd Story Basement Compliance Method [ ]Prescriptive -- Indicate option (sea attached sheep [ ]I [ ]II ( ]III [ ]IV ( ]V ( jVI ( ]VII ( JVIII [ ]Component-- Attach documentation and calculations [ ]Systems Analysis -- Attach documentation and calculations Heat System *Iectric(Electric Resistance) [ ]Forced Air Oall Heater [ ]Other (in&ca.) [ ]Baseboard [ ]Radiant Make & Model ,X 9�110 Size (KW) ,Amd ( ]Other [ ]Gas Furnace [ ]Oil Furnace [ ]Heat Pump [ ]Other ., Make Model Size (BTU) AFUE HSPF Ventilation System [1*4on-Heat Recovery Ventilation [ ]Spot and Whole House [ ]Central Ducted [ ]Integrated with Furnace Whole House Fan: Make k P Model Size (CFM) [ ]Heat Recovery Ventilation [ ]Air to Air Heat Exchanger [ ]Heat Recovery Heat Pump Make Model Size Attach 1) Window Schedule 2) Heat Loss Calculations Radon A three-month etched track radon monitor will be provided (by builder ACKNOWLEDGE: roww.r..�.w.► MASON COUNTY BUILDING DEPARTMENT --- - ------ _---- WINDOW SCHEDULE WINDOWS (group same size windows on one One) How Brand Model U-Value Man Size Area (Sq. Ft. �c O TOTAL WINDOW AREA L (q) SKYLIGHTS How Brand Model U-Value Many Size Area (Sq. Ft.) TOTAL SKYLIGHT AREA ($) TOTAL GLAZING AREA Pace) (add A+B) DOORS (from heated space to unheated s How Brand Model U-Value Many Size rea S . Ft. uhrlQ 7- TOTAL DOOR AREA A ` 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE - - -.-- . -- ---- __PPXSC PATHS_. OTHER FUELS (GAS, OIL, HEAT PUMP) HVAC- Gazjng wan Well ine wan ext' Stab- Equip. %Floor Ga&q Dom Vaulead Avow Below Below an Opdm ENfc- rea A UNAW U-value Calling= Caring' Grade Grads Grade Floor Grade I. mW. 10% 0.70 0.40 R-30 R-30 R-15 R-15 R-10 R-19 R-10 11- Tilled. 12% 0.65 0.40 R-30 R-30 R-15 R-15 R-10 R-19 R-10 111. High 21% 0.75 0.40 R-30 R•30 19 R-19 R-10 R-19 R-10 Reference case V- low 217E 0.60 0.40 R-30 R-30 R-19 R-19 1 19 -10 VI' Cb1ed. 25X 0.50 0.40 R-36 R-30 R-19 R-19 R-10 R-25 R-10 VII.' Mad. 30% 0.45 0.40 R-30 R-30 R•19 R-19 R-10 R-25 R-10 1 Minirawn requiemwr6a for each aptian Wad For asanpls,N•proposed design has 5 Floors over crawl space or enxm to arrbieto air ammkiorn. a olzieq ratio to tlr oondAontd Ybor area of 19'%,It shall amply with aN of the mquirenr+b of Use 21%g421n9 apdm(a hlghter). Proposed dew"whch cannot 6 A*QwinW Stab n+ees 91e apsriro regYinrrwMr d a W ed option above,may ealou W oorrphnca it ended gas.and installed acceding to Rm"actumes specifications. See by Chapters 4 or tit d this code. section 602.4. 2 Regtdn^r'ds applies to all osiange asost t angle rafter or joist vaunted oeinps. 7 These options&hell be applicable to buildings less than tree stories. 'A'W denote Advarmad Franked Gi'irq. l lPlettummovtormt appkabie ally to siglo mhsr or joist varraed osiinos. N well i sule ion rwqu"mord d«totts R.19 well cavity kwAmbon plue R-5 loam wm". 4 Below onda salt shah W i+arriatad eUnr on Ste astarbr b•mi+itwm lsusl d R 9 Mirtinturm WAC Equpiv sdNAeney toquiwnenL 1od denotes an AFUE at a74. A ar OR the eaMrr b 00 aanr bvd as wells above prods. Eatrrs row shm 'Mee denotes an AFUE of a7%.44igh'dwrates an AFUE d 4169. imals"an below tirade was shall be a weir mommum nWenna�mrrdachaed for Id irdsrvded use,and awtabd according to the nWNdafMees epeodieatirrs. SM aeman l022. ELECTRIC RESISTANCE HEAT G9&*V wan was Ine wan axe Slave %Floor Ga2jng Door: Vaull9d Above Below Below on Option Arm U-value U-Value Cejrwtg= C~ Grade Grade Grade Floor Grade 1. 10% 0.46 0.40 W38 R-0 R-21 R-21 R-10 R-30 R-10 11. 12% 0.43 OZO R-38 R-30 R-19 R-19 R-10 R-30 R-10 111. 12% 0.40 0.40 R-38 R-30 R-21 R-21 R-10 R-30 R-10 " :,.. ? 33tQ ^", "R= Ef► " Reference case V. 18% 0.39 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 A 21% 0.36 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 V11.7 25% 0.35 020 R-38 R-30 R-19+R-5a R-21 R-10 R-30 R-10 Vlll.? 30% 0.32 0.20 R-38 R-30 R-19+R-5' R-21 R-10 R-30 R-10 1 Mitwewn requitwrnrs for eaoh option Wed Fr tsrrpls.7 a proposed design hie 5 Floss we crawl spoors r etpeeed b anbiwa air o sndiiom. a 9yart9 race b Ill oondilioned Moor aloe d 191r�l shall mrply wah all of the rpuirenwMa at the 21%pia"option(at hgmmr Proposed desi0rm which canrwt 6 R441411041111 WNW sire apenio requirrrnutb d a Wed apron above.may calwiste slab parirrtr irulatien shall be a watt resistant material manulactwed by Chapters 4 r 5 d this cods, aonPfnoe for ao intended ass,and installed aoomkie is ma"aamwe apsedieatirr. See so~602.4. 2 Re tuinrrwnws amlioa to all osiings taoept swgls nftr or jest vaulted cedigs. 7 These option shah be applicable to builldinos Was than three stales. 'AdV denelse Advarrw'Franked Cedirg. 9 This well nsuttlion rsqukemwe denotes A-19 wall cavay mutation phrs R-s loam 3 R**Aw went applicabie only to single Mr or piot vaulted opings. sheNng• 4 Below grads wab shall be i muated dhsr an the estaror to a nit wmm loci of R. 10,or on Ill Tatum to the umm Mewl as wells above grade. Extror TrsuWort inWled an below grade was shalt be a water me s uml nwbnst,manufactured for is Trended cave,and wtalled s000n"to the manulactut e.sloommatwrke. See "Coon WZZ Worksheet l I.D. COMPONENT DESCRIPTION ENTER BELOW GRADE WALL 04MENSION COST AREA TOTAL LINEAL FT. SLAB ON GRADE DIMENSION AREA LINEAL FT COST i CRAWL SPACE FLOORS I DIMENSION ENTER AREA COST �7 7 x. ABOVE GRADE WALLS It«..a«weo«,a.wm,..tiu,a DIMENSION ENTER AREA I COST Q.rw vim W-anew an"roc*) CEILINGS(w.«,.yu.own-") DIMENSION ENTER AREA COST f I I I I Worksheet 2 LD. COMPONENT DESCRIPTION DIMENSION Orion ENTER AREA COST No. WINDOWS No. DOORS DIMENSION ENTER AREA COST No. I SKYLIGHTS I DIMENSION ( ENTER AREA COST 1R LEAKAGE I DIMENSION ENTER VOLUME COST THERMAL MASS-HOUSE TYPE DIMENSION FLOOR AREA COST ADDITIONAL MASS(THERMAL) DIMENSION I SURFACE AAEA I COST ------------------- i