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HomeMy WebLinkAboutBLD94-0387 RES - BLD Permit / Conditions - 6/17/1994 37 (,n C.1 m 0 0 1 v s o m •'^ �'^ GS O Ql t7) r m woo m 'rl -i H II O',-{ O -1 r) O E33 3> m 3> C 0 3> = H H m M M z Z 0:{C t") G r Z ,Ip 3> ;0 C-) (n H -{ ;00 O 3> 0 3> (n m C") r) 0 3> --{ 3> .A --)� R m r I r- m m m Z 0 'O r Cl C m U) ) O i -- 0 U) Z O U) ( H .^. •-• • '-'1 X m r '01 'O En r 3> O O 0 < z o a ao .xi ai C 3> m H H ( Z N Y Cf) 0 • '0 0 m n £ M w i rn .rns s o c Z7 Z Z N I m v ✓ ( -i C -n 7l O a) -1 Z m 00 -a a -f G) m { i H z r 0 m 3> 0 m U) .1 wz = .. i •J w z m Z 1 O H 0.43 ) C r M ;0 U) Z -{ 3> O O U) Z En O z C rn o � �+ zrn c rn m N .. .e .J i t .m • ° ...f .a 70 . x ' m H cl 3> • • 1 e a O m 7t r' w O ( cD (n U1 CD m ( .. .e . �° °• .. .. -+� „p Qit •• x as c rn w al ( • • E 'J °J U) Z en EA °f7 rn s o rn< 01 Ss C4 Y i & O 4, t9 I9 { -n m ' O m 0 N w to to 0 N G 5 t Z '-I a v z co -+ -h -h rt rt rt rt rt I m -C O En O Y rn o m H 3 C L7 O r to Z 3> H 3> X r H r 3> = 3> 3> O = 3> 0 H r -I m 0 x 0 x 0 00 ; 0 Z w = Z z 0 0 --1 m E _ = r �') 7; O m 0 X X C A 30 0 � � � � � m m mHU) -a H •• rn • rn rn 3> -0 r 0 3> X H m m ;o -{ co -{ r z --I r m r En H W C Z O z U) = U) C 3> 0H 00 3> = U3 H i U1 W = 0 M m ° Co cn • z < n m • N O W r" m m 3> U) 57 3> U) H e m U) m m H Z Is 0 o •-+ T---� -n O M ;0 '11 H H D -{ ° z • •J -a U) w ti) • 00 X z o H (n U) 3> 0 Z Z U) m U) 3> _ n N o o T X 3> -< C U) 7i = X r) (A O r r a 0 Z ° U) m 0 ° • ° • • m . a • 3> 3> v . 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Cedar/P.O. Box 186, Shelton, WA 98584 42 -9670/1-800-562-5628 PLEASE PRINT #1 Owner K,0-< !PC r'C25CN AND SW�itPLY t�i�TErt-SiEN P one Z_ Site Address PPL.i ` oq- I�i[> ��ctt �_v�� Ye�l��`- �� Fire District# k ,City St W fl5�/ Zip a s-q8 Directions to Job Site t-c.>c (Mt T(LA r a A 1 / � D +-�L .✓ �- r-OAQ TV ,� �r ,� n✓ Q, NT T N c- ..VC SCc r CC- i^ i d/- "fft v2+V w.r1 iv OvFlner Mailing Address W Co(v 5 5N ►J /hR _0 4 l2-0 A7D City S ► C-L-T-o N Zip Lien/Title Holder K, K A M^ ✓ Address I city � 0 #2 Contractor Name K\9-\f- rw�_u L N Contractor Re � g J --- `0 Address l row► m 9.ok0 Expiration Date/ 1 2—/ City St wAsK. Zip G 5-&Y Phone# C_4�0? 5/Z-G 308 Z #3 If septic is located on project site-, include records. Connect to Septic?�Public Water Supply ` s Well { Connect to Sewer System? Name of System (If residential, proof of potable water is required) 0"I'l-b zia(ve) _ , co 1 c #4 Parcel No. J4 4 $ -( U - Legal Description S r_ t­) 8 awash+ `za L_- '^' M O P��T #5 Building Square Footage: (existing/proposed) 1 st A 10(01,m_/ 2nd FI / 3rd FI / Loft / Basement / Deck " 13Q #bedrooms 2 / #bathrooms Garage b 313 / Carport / (Circle ttac e r Detached?) Other sq. ft. / #6 Use of building r Describe work #7 Type of Job: New X Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Price $ #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 Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways ems► 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 1 CPO. q %V I StC^rgAc,cg } r! % ,o 41 � W, � o APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW !o' TOP' Plumbing Fixtures ($.$ each) Fee Mechanical Fixtures 6 each No. ( Toilets 3 CIRC E FUEL TYPE: Gas, le , Bath Basins Heat pump, Other I I Bath Tubs '� No. Units 8 F jet a Kw I Showers Furn BTU J Hot Water Htr _� _ Heatpumps Laundry Washer 3 _ Vent Systems Sinks Spot Vent Fans Z- Floor Drains No. Boilers/Compressors Laundry Basins 3 — HP Dishwasher 3 No. Air Handling Units _Disposal I cfm# 7 _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 No 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 TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- 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 AMAWA EOFTHE ORDINANCE REQUIREMENTS REGU ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING HE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND AL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREV fITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING AP OVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT.10 l X OWNER X BY DATE DATE — � - c FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: U 10;eC 0 i Environmental Health: ,.Cf Building Plan Review Occupancy Group:3 /))l Type of Const: —V--tq--- Fire Marshal: Other: --------------- Special Conditions: , FEES �.e� Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee t IS Other Other Building Valuation: U ! TOTAL FEE J MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTO 98584 (206) 427-9670 CORRECTIO NOTICE Job Location 'V / 9Z2 I)R ` 7-e,'x1 L S 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 b orrect tog in code compliance -El "vw IAI Da o L 2K)wL s — pf,55 5 o�e x1a use evu /Lr o o a ,c 1)�C 7�O�o,� o V S/T 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 ext inspection ❑ OK to (XC)C% —1 Department s ����Al Date ^ �" 1�� Inspector GI 5 n h F C `4L DO NOT REMOVi THIS TAG W �> /.� ♦.. %.���) /I. lam. l,. .�_� r i AI26 i •j1 l � II MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION' N0*10E Job Location /z2 Z5FD This structure has been inspected by Mason ounty Building Department and the following VIOLATION of County La s and Ordinances has been found: Items listed below must be corrected to ga n code compliance 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 Department Date - _ Inspector DO NOT REMOV THIS TAG GTON Attachment B CODE Building Record WSEoCon�t# PROGRAM For Site-Built Residential Buildings Heated bl, Electric Resistance or Heat Pumps (please check one) \ (please check one) New Building El Addition over 500 sq.ft. - Singlle Family ❑Duplex Jurisdiction: Nf 1�9 ❑Multifamily ❑Zero Lot Line Home 11 ❑Plan ed Unit Development please check one: ❑ city' Ounty Permit clq File ID if different from Permit A. Site Information B. Ovyner Information Address Owner �ownerattimeofconst c6on receives util' ent . 5 r Cit zip Company Assessor's Property Tax# or attach legal description): Addres eP 4 --;to Off / /� Cit e/ Stat Zi S Servicing Electric Utility Phone & `" 0 C. If Single Family,Zero Lot Line or D. Duplex E.If Multifamily(R-1) Planned Unit Development First Duplex Unit s .ft. Total#/Bld s. Total Conditioned Floor Area s . ft. Second Duplex Un t s .ft. Total#/Units A. Primary Space Heat Type B. Secondary Space Heat Type C. WaterHeat Type (check one) aff ❑ Electric Baseboard None Electric �• Electric Wall Heater ❑ Wood ❑ Gas ❑ Electric Furnace ❑ Electric Baseboard ❑ Other(specify below) ❑ Electric Heat Pump ❑ Other (specify below) ❑ Other WSEC Compliance Method For Heat Pump Only: 0-tea -9 El Prescriptive Path Built to the Electric Date f Permit Application Date uildin Permit Issued ❑ Component Performance Requirements of WSEC? Date f Insulation Inspection System Analysis ❑ Yes ❑ No (If yes, Date of Final Inspection utility may offer incentive.) I hereby certify that this building or addition has been inspected for the measures required by the 1991 Washington State Energy Code(WSEC), that t is in substantial compliance with the WSEC, and that the SEC checklist for this building i on file. 7- 3 Signatu uilding Official or Authorized Representative Date ■ Building Department:Return white copy to Kathleen Skaar,Washington State Er ergy Office,P.O.Box 43165,Olympia,WA 98504-3165. ■ Owner or Building Deparment: Forward canary copy to the servicing electric utility to trigger WSEC compliance payment. ■ Building Department: Retain pink copy for jurisdiction's building file. wsEO#94-015 2 sa _... _. .... __..__. �n,-»m Ir wu+asvr Tcu 3d . Siva3O Slbhlg0°i°jwcto %oANVdW00 NiDuo ZISN00 31�dY" , t4c� 1 N/r7+"i N3S2i313d --� p i t --I QP 11 A Ln s � N i co u I LAI ' ( co i f j I � . r U' ( I - -t- —� -- r- i � I i IVi 1 l ' ! i R i a .,��_ 7; i 'R- � I C ILI CZ } II i I ! � � I � I ! ; J✓J n ell . � A C L a - U k j G f- IT h� `�. G � c SN kq b Z_ G BUILDER\HOMEOWNER AGREEMENT LTSGC## 94-0513P Super Good Cents HOMEOWNER: KIRK PETERSON PHONE: 426-3082 SITE ADDRESS: DAYTON TRAILS DEV. ACCT: MAILING ADDRESS: W. 6651 SHELTON MATLOCK RD. SHELTON, WA. BUILDER: KIRK PETERSON PHONE: 426-3082 MAILING ADDRESS: W. 6651 SHELTON MATLOCK RD. SHELTON, WA. a I understand that in order for the electrically heated home located at the above address to be certified and in addition qualify for "Long Term Super Good Cents" . Home must be constructed in compliance with the Washington State Energy Code, attached Wattsun heat loss and Long Term Super Good Cents addendum\specifications . I understand that inspection by District �taff is required at each of the following stages: X Prior to pouring of concrete slab,] if required. X Prior to installing exterior insulation and damp proofing the below grade basement walls, i required. X Prior to installing insulation (structure is framed, roof is on, roughed-in plumbing, heating, wiring, telephone and TV cable are installed, and all penetrations are sealed) . X Following installation of insulation and vapor retarder but prior to covering. X Final inspection - all components installed. X Other AS NEEDED. NOTE: Final inspection by our Super Good Cents Department must be completed prior to the final inspection of the appropriate Building Department. It is understood that the Super Good Cents Department is to be notified at 426-0777 or 426-8255 Ext. 777, not less than 48 hours prior to required inspections . I-understand the "Long Term" Super Good Cents certification by Mason County Public Utility District No. 3 only verifies compliance with the Long Term Super Good Cents program standards and only in respect to energy efficiency. Neither the District nor any employees make any warranty, expressed or implied, in regard to the general workmanship and structural integrity of the residence or the future electrical consumption. I, the undersigned, understand that if the home is built according to this agreement, the attached specifications, detailed checklists, and addendum, and is certified ,by the District representative that I will be eligible to !receive Long Term Super Good Cents incentive payment(s) in the amount shown on the attached worksheet. I further understand that it is my responsibility to be aware and ' adhere to the Long Term Super Good Cents specifications. Only upon verified completion by the on-site inspections listed in the agreement of all the attached criteria by ,the Mason County Public Utility District No. 3 Long Term Super Goad Cents representative, will the house be certified as a Super Good Cents home. Signed: rA^", 0,e�6� meow er Bui er /- 2,5'---Z Date Date 5-3 I- s'Z-/5.f-� Federal ID# 'SociaSec. ## Federal D## or Social Sec. # 0,A Wka,�Q 1ti i 1ty Representative TONI HERMANSEN Utility epresen a ive prin ) JANUARY 25, 1994 Date Homeowner conservation incentives may be paid directly to homeowner, or applied as a credit on your utility account. MSC RzT7-=C'7 _ HrA=-D RZSTI)ENC,-S CCI«CN-r--Y-- CLIMA ' ZON-E T (-6000 HDD) Ceilings 1/ Attic R-49 Adv. Vaults R-38 rHal-1s 1/ * Abcve Grad_ 3e1cw Grade =�ter1o.r w/ R-21 Adv. R-5 slab t ermal break Floors Cver crawlspaces & unheated basements R-30 Slab-ca-Grade Perimeter R-is Glaz-na 3/ Maximu.-= tested U-vaue Reference Area (% o floor) U-0 .35 Single Family 15% Multifamily 12% Exterior Doors U-0 . 19 Assu.:,ed =zf_ltrat_on Rate 2/ (ACH) 0 .35 Duct _zsula=ion Rigid R-11 FlaxibI R-8 Shcwer Heads @ 65 ?SI 2.5 GPM Ovate= Heaters 0 to 59 gallons 0.93 E7 60 to 120 gallons 0. 91 E3' Mechanical ventilation and pollutant source control in all Climate Zones. -- 1/ Adv. indicates advanced framing techniques . Use standard wall framing for Multifamily structures. Duplexes ; =v as Si_ qua____ ogle Family st-.ctures, but receive payments as Multifamily st_Zctures unless othezwise noted. 2/ The assumed infiltration rate ( CH) is for heat-loss calca_ations only. 3/ Unlimited glazizg is acceptable for Tier-! Single Faro=1_v and Multifamily homes i- all co poneats meet the requi_emeats of this table. * R-21 Intermediate + R-5 . 4 foam. IL you decide to go Prescriptive Path (reference path above) please read the list carefully as any item left out or 4#ranges to the list may disqualify your hane from cur program and the incentive payments. .. OWNER'S NAME: 1(L,Q.✓. Q ice.,I P—u 1'c�1�J WINDOW & DOOR SCHEDULE WINDOWS INCLUDE ALL WINDOWS, SKYLIGHTS, SLIDING GLASS DOORS, FRENCH DOORS AND STORE DOORS. ANY WINDOWS IN DOORS (LESS THAN 50% OF AREA) MUST BE TAKEN OUT OF THE DOOR AREA AND PUT INTO THE WINDOW AREA ON THE SCHEDULE. BRAND MODEL U-VALUE QUANTITY SIZE TOTAL SQ. FT. L'jv z t l CASE- b o dr 3� 7 a 3° l ? f Ll HA Z" Ni to tl� vtN b - TOTAL WINDOW AREA a DOORS BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT. 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