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Home My WebLink AboutBLD2001-01286 SFR - BLD Permit / Conditions - 2/20/2002 Inspection Line (360)427-7262 MASON COUNTY DEPT. OF COMMUNITY Phone: (360)427-9670, ext. 352 DEVELOPMENT Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2001-01286 i OWNER: ALEX GRINENKO CONTRACTOR: ADAIR HOMES INC 352-7641 RECEIVED: /20/2002 0 ISSUED: SITE ADDRESS: 161 W CLOVERDALE PL SHELTON 820/20 PARCEL NUMBER: 420087800090 EXPIRES: /20/2002 LEGAL DESCRIPTION: TR 9 OF SURV 15/150 PROJECT DESCRIPTION: DIRECTIONS TO SITE: RESIDENCE 101 TO SHELTON LEFT ON DAYTON AIRPORT RD TURN RIGHT ON DAYTON TRAILS COURT INSIDE DAYTON TRAILS RIGHT ON CLOVERDALE SITE LOCATED ON LEFT General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: 4 Type of Constr.: V-N Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: R-3, U-1 Lot Size: Deck: 24 Type of Work: NEW Fire Dist.: No. of Stories: 1 Occ. Load: Building:1,920 Garage-Attached 440 Valuation: $108,819 Building Height: 16 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make: Length: Ft. Front: S 176.0 Ft. Shoreline: Ft. Water Body: Rear: N 100.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: E 110.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: W 498.0 Ft. I Comp. Plan Desi .: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 2 Ventilation Fan 3 Plan Check Fee Tw 19i1R/9nn 047 nn ra7R Lavatories 2 Dryer Vent 1 Building State Fee ARN 19i'41/9nn oa rn riRdgR Bath Tubs 2 Building Permit Fee ARM iwsv,?nn 1 nad a RRacaF Water Heaters 1 Mechanical Fee ARKI 1giRiignn rq4 nn t;Raaa Clothes Washer 1 Mechanical Base Fee ARN »ia1ignn v9R sn rAAQR Kitchen Sink 1 Plumbing Fee ARN 1qi'iinnn ,tR9 nn RRaaF Laundry Tray 1 Plumbing Base Fee ARM 1giR1ignn (z,?n nn c;Raoa Dishwasher 1 Planning Review Fee r;Rnn 1/d/9nn9 Q.iR nn SRdQR Hosebibs 2 EH Plan Review KC iiqr;ignnq �Fn nn SRAgR Total $1,338.15 BLD2001-01286 Please refer to the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR BLD2001-01286 CONDITIONS FOR t BLD2001-01286 1) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036.X __7F_'S 2) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 3) 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 and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. 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 proje X 4) Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum of 5'setback from all property lines, easements and 10'from all County and State Road right of ways. X 5) A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Charell Holcomb, at (206)427-9670, ext. 450. X 6) Approved per dimensions and setbacks on submitted site plan. X 7) All 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. In addition, a re-inspection fee in the amount of$47.00 per hour (minimum 1 hour)will be charged and must be collected by the Building Depaflo3.ent prior to any further inspections being performed or approvals granted. X _� 8) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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 re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or contractor fail to post the address on site prior to requesting inspections. X '57—S BLD2001-01286 Please refer to the following pages for conditions of this permit. 2 of 4 9) The plan review check list and corrections, along with the Energy Compliance Worksheet (when applicable)are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the 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. X 10) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 11 The"approved" plot plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" plot plan is not on site, then approval will not be granted. In addition, a re-inspection fee in the amount of$47.00 per hour(minimum 1 hour)will be charged and shall be collected by the Bu_ iF�g Department prior to any further inspections being performed or approvals granted. 12) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code 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 imit revocation. X 13) Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum of 5'setback from all property lines, easements and 10'from all County and State Road right of ways. X �� 14) Proposed structure or portions thereof with 79 n projection over 30" in height from grade line, must maintain a 5' separation distance between adjacent structures and that furthest projection. X 79 15) All changes to "approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. X 16) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the Uniform 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. 17) All property lines shall be clearly identified at the time of foundation inspection. X 18) All building permits shall have a final inspection performed and approved by the 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. X 19) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prevented action from being taken. No more than one extension may be granted. X — BLD2001-01286 Please refer to the following pages for conditions of this permit. 3 of 4 20) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 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 anytime 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 occupied. OWNER OR AGEN DATE: 2- 20 BLD2001-01286 Please refer to the following pages for conditions of this permit. 4 of 4 Building Permit # LA--11 MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location / e:, Z k1 I�ZO()c",C714ZC /PL�gCe e 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 be corrected to gain code complian A6Q Lki 1 o1v S H A , J� Tv �/Vl OF (?ADLF,,s_ �x?'c121u2 AA10 /ry r AEi2lyP C' ESZe.0141 rh�,�V/�,� O,e ,&4 �o v ,e.4MI•� a suc.,q;1vA1 5 NAY i U T 7- AS iv Oom Q LA--- >zLt4 T/// W4i/ Z7.4 v17i,okF5. - 56D 4S -r4je 6 1,11 Su Ti0 A7- q T;D j 1V 51tA / BE ��,45t�/y cis✓ f s uc7 A S 4/ FX7:AN,0 Z t v01V0 5U2 Act OF Z5&Xj/11 —.0 r-Zlv�litfi D /C >GIC a !/y / U^ixF, You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK —(�g ) oE:N / VWAk� C► 24-- XCall for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to This is not a complete inspection Department ��/W'vz Date Inspector 161 CX—Z'yD "so 0 Nk OT MOOV THI TA L* � i` PERMIT NO.: BLD MASON COUNTY ��C,n ' BUILDING PERMIT APPLICATION ;� 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INF R A,TION Owner(1.v Y, t o ;�r�r1t<Y1k r-) Contractor Name he Mailing Address Ir Mailin Address ►21 City Stat Zip CodecibbgRa City State _1AA Zip Code Phone 12-7-9/2 Other Ph.( Ph. - other Ph.( Lien/Title Holder Contractor Reg. # a4&iv Hilt 2LO2 RZ Address P Expiration /I,Z/ QL _ SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMAT N-1 2 d' it Tax Parcel No. 7 / Fire District Legal Description Site Address(Please incl de s eet name, street number and city) Directions t site Will timber be cut and sold in parcelpreparation? ( e o j Is your property within 200' of the oll il1g: Body of Water (Name) Saltwater Lake River/Creek d U Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of Bedrooms�_No. of Bathrooms_ SQUARE FOOTAGE-1st Floor nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage !} Attached Detached Carport Attached Detached MOBILE HO E INFORMATION-Make Model Model Year Lengt Width Serial No. No. of Bedrooms No. of Bathrooms Type o Purchase Price $ Replacement Unit ?(Yes/No) Insta er Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be dyne in conformance therewith. No changes shall be made without approval. first obta ning/approval. f X Date !' �f .' [ Date 12 FOR OFFICIAL USE BEYOND THIS POINT Accepted by ' C+ l Dat 1/ Submittal Amount Due Receipt No:.� DEPARTMENTAL. REVIEW APPROVED DENIED CONDITION CODES Building Department -p I Occ Group Type Constr,J- Planning De rtment Environmental Health Department Public Works Department Fire Marshal s - Valuation $ C19r:2 N go1^ FEES Building Permit Fee t Site Inspection Plan Review Fee 00 EH Review Fee Plumbing&Base Fee ao.O v o o Planning Review Fee Mechanical&Base Fee"t .o O b° Other Wood/Gas/Pellet Stove Fee State Fee �e Violation Fee Pre-Paid at Submittal TOTALFEES PERMIT NO.: MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton(360)427-9670 Belfair(360)275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner C li) r 1 h'0e Contractor Name j,44iai r f i _l-11C . Maili an A e _ Yf CYII-r Mailing A dress City I I CI't State Zip Code City fa.- State Zip Code Phone - l2 they Ph.( Ph. 52--7(oll Other Ph.L� Lien/Title Holder Ve Contractor Reg. # t) tr �1 A -c w< Address Wn �, IZ4 clot,i Expiration / t 1 / C 1 SIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of System PARCEL INFORMATION-12 digit Tax Parcel No. ' 6 U _ / Fire District Legal Description `CLL Site Address(Plea include street name, stye t number and city) Directions osite Te "r i 4i al 'r t Lt IL r1t h 41 r t (t f1 ll i S 1 t 0 ' P, InOAi opi e- 1- Is your prop rty within 200' of the following: Body of Water(Name) Saltwater Lake iver/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add__Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater w Propane Tank Laundry Wsher�- Gas Outlets Sinks �— Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Other Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtai tng approval.rn Jn X Date X ( G�� I 'G�/��'` Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DPARTfVl3d1AIER1EVsI<;"::`>: °::` :: ' aPIRL?VD:..:..DIVIEt3 CQI1tRl#ION:GORES Building Department Occ Group Type Constr. Planning Department Other Other FEES Permit Fee _. __. ... Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal Violation Fee TOTAL FEES MASON COUNTY PROJECT SITE INFORMATION '/ , I,, t,, Case No. Name.�y 5 IU I ►fi {� �-�K�rl bO,�OEL NUMBER Date 12— ZD` SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line4 F - fe %f/ i adjacent property line I I I I I 1 I 1 I I I I I i I I 1 I 1 I I I 1 I 1 I 1 I 1 I 1 I I I I , I I 1 I I I 1 1 1 I I I I I I I I I I I I I I adjacent property line- I I E-adjacent property line SAMPLE SITE PLAN adja�nt property line4 ,� 3ie� _ E _ -adjacent property line I D 30- rRfSCRve 3"1 , I I MoMC 1 Gnalu e�k � I � , I j Pma PosGD 5¢pf:G I 1 , VAC. to T 7�i I I 3�I P0.oPo�CD I / \ �\ A&R=LLLTLLJLAL SO T 1 / I I I I � I I I I � I � c..—cLL I \ I /00' I b 3 , 4 adjacent property line4 , 1 a~. \I Fad'acent pro pert' line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE di s+a.+cQ tv ru.ctt.L-YL dt,5i'a►,G.t t o S�opm �o¢ dis+anam +e t 12-w- di Signature Date >`UT HLAm Fop, ENL-ARC�E!'�1ENT S4F_-%_-roti , wk. 9g5S4 OK)) 4Z-7 - c�t owS B �N � � I� M XX CL_ovERLat� �Lac_ I �' u 100€Z s'00cx�e -. f FILE COPY + ; I 0 co i i SNo� i S EPz tC I 1 � i GARAGE 22X2o N I 7--7- I , 4o FZ T u7-- I i ) E L D APPROVED MASON BUILDING INSPECTOR CHANGES SUBJECT TO APPROVAL DATE-0-9:2(—D\ I `' ui;iHIS,=LOT;Li;1 HAS BEEN PR DEu ANC RE;It;'ED BY-HE PROPERTYOWNER,41HO,BY SIG�1! BELOW: 1.) r H ES E PLANS MUST BE ACIIUNGVVLEDGES AND ACCEPTS FULL RESPONSIBILITY OR ITS ACCU?ACY AND COMPLE EMESS:2.)IS RESPOMSIBLE TO ENSURE THAT THE ON THE JOB SITE i'l.7POVErMENTS TO THE SITE TAKE?LACE IN CONFORMANCE WITH THIS FOR INSPECTION. 'LAX O.)WILL ESTABLISH ALL THE SORNER IRONS,LOT LINES AND CODE- REQUIRED SETBACKS REQUIRED OF THIS PROPERTY.ANY CHANGE(S)TO?HIS P;AN MUST BE?RE-APPROVED BY THE GOVERNMENTAL AGENCIES WITH JURISDICTION,THE MORT E LENDER AND THE CONTRACTOR AND CHANGES MM- lb 1/ Q/ SUBMIT CHANGES FOR APPROVAL OWNS DATE O PRIOR TO PERFORMING WORK X ,O ER DATE WATTSUN 5 .5 COMPLIANCE REPORT 04/•30/96 FILE : C: \\WATTSUN5\\1920-96 .WS HOUSE ID: Site : Analyst : Jurisdiction: C -i V- 0 om e�>, ( ) - utility: �3�0- 3 )2--le0q/ 3omeowner: sthl C4k7h5lk-�)House Type : Single Family Floor Area: 1920 ft2 Builder: ADAIR HOMES INC Weather Data: Portland, OR 2303 93RD AVE SW Climate Zone : 1 ( 0APIA WX98512-9156 ------------------------ -------- ----------------------- -------------------- The PROPOSED design *COMPLIES* with REFERENCE PROPOSED COMPONENT PERFORMANCE 320 310 Btu/hr-F ENERGY BUDGET *** *** kWh/ft2-yr REFERENCE DESIGN Reference Component Value X Area = UA ------------------------------------------------------------------------------ Floor U-0 . 029 1920 55 . 7 Glazing @15o U-0 .400 288 . 0 115 . 2 Doors U-0 . 200 56 .0 11 . 9 AG Wall U-0 . 058 1338 77 . 6 Ceiling, Attic U-0 . 031 1920 59 . 5 Infiltration ACH-0 . 350 14784ft3 ( 94 . 7) ---------------------------- Reference UA 320 --------------------------------------------------------------------------- PROPOSED DESIGN COMPONENTS Component Description Value X Area = UA ------------ ---------- ------------------------------------------------- Floor R19 vented Joist 16oc U-0 . 041 1920 78 . 7 Glazing @11% **NW WINDOW VINYL W/ARGON U-0 .400 179 . 0 71 . 6 **NW WINDOW SGD-VINYL-LOW E U-0 . 400 40 . 8 16 . 3 Doors **STANLEY METAL FLUSH 1/2 LITE U-0 . 240 18 . 0 4 . 3 **STANLEY METAL PANEL U-0 . 240 20 . 0 4 . 8 **STANLEY FLUSH FIRE DOOR/ METAL U-0 . 220 18 .0 4 . 0 AG Wall **R-19 + R-4 FOAM BAORD T-111 U-0 . 050 1406 70 . 3 Ceiling R38 blown Attic STD baffled U-0 . 031 1920 59 . 5 Infiltration Standard Air Sealing ACH-0 . 350 14784ft3 ( 94 . 7) - --------------------------- Proposed UA 310 Struc Mass Light Frame, Sheetrock walls M- 3 . 000 1920 5760 -------------------------------------------------------------------------------- 4 • � �l WATTSUN 5 . 5 COMPLIANCE REPORT 04/30/96 FILE : C: \\WATTSUN5\\1920-96 .WS HOUSE ID: HEATING/COOLING/VENTILATING SYSTEMS PROPOSED Heating System Type: Electric : Zoned System Efficiency: 100 6 Modified Efficiency: 100 Design ACH: 0 . 60 Design Load(at 47F dt) : 22178 Btu/hr Total Load: 22178 Btu/hr System Size (Output) : 9 . 5 kW (1500) Average Annual Heat : *** kWh Annual Cost : $ *** Ventilation-`System: Integrated Spot & Whole House Cooling System: NONE SEER: 0 . 0 () Cooling Load(at 8F dt) : Btu/hr System Size (oOver) : tons (@1250) Annual Cool Requirement : kWh/yr Solar Access : Partially Shaded -------------------------------------------------------------------------------- -SINX-ZING ORIENTATION PROPOSED PROPOSED South ***ft2 North ***ft2 Southeast *** Northwest *** East *** West *** Northeast *** Southwest *** Eff S Glz : ***o -------------------------------------------------------------------------------- MASON COUNTY BUILDING DEPARTMENT 1997 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE OWNER A.JtY 5 VA► 1 &11 C{��(�()k(�TELEPHONE 3-�Q — 4-2-7— 9t 23 OWNERS MAILING ADDRESS rJ d COS. +, %fit z i IXA 9-0 COMPLIANCE INFORMATION TYPE OF PROJECT: (t.)'KEW RESIDENCE O ADDITION O REMODEL O OTHER AREA (SQ.FT.) 1ST FLOOR 10JU 2ND FLOOR _ HEATED BASEMENT Note: Heated basements must be insulated and finished to meet minimum energy code requirements. TOTAL SQUARE FOOTAGE OF CONDIIONED (HEATED) AREA COMPLIANCE METHOD: a_;tfW?(C1 ( ) PRESCRIPTIVE PATH -- circle option -- I II III IV V VI VII VIII Glazing percentage (total glazing area divided by total conditioned area) ( ) COMPONENT PERFORMANCE -- Chapter 5 -- attach documentation and worksheets ( ) SYSTEMS ANALYSIS -- WATTSUN 5.2 -- attach documentation and worksheets HEATING SYSTEM: ELECTRIC RESISTANCE ( ) Electric Central Furnace ( ) Electric Wall Heaters ( ) Baseboard Units ()Radiant Panels ()Other OTHER FUELS ( ) Heat Pump with electric furnace ( ) LPG Furnace ( ) Nat. Gas furnace ( ) Oil Furnace ()Other ()Boiler System(indicate type) Make Model Size AFUE HSPF VENTILATION SYSTEM: ( ) Spot and Whole House ( ) Central Ducted System ( ) Integrated with Furnace ( ) Heat Recovery System (air to air heat exchanger -- heat recovery heat pump) GENERAL NOTES: Your building plans should indicate certain compliance measures: framing to be used (standard, intermediate, advanced); type of vapor barriers being used; location of furnaces, hot water tanks and other equipment; location of solid fuel burning appliances, fireplaces and their combustion air duct runs; and termination points of exhaust ventilation fans. 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. TOTAL WINDOW AREA DOORS BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT. TOTAL DOOR AREA E 4CRETE MECHANICAL MOBILE HOME (Yjb `'etback OKP -��CN�`S�is j 4AC date `f_ � b Ribbons ngs- *, Y datp by a10X41w Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAi3 Insulation Floors Final date by date .5 i pZ by date by FRAMING Walls FIRE DEPT. date by = ?�" date 5 / Q 2 by date by PLUMBING OTHER 441 . //, Ground Attic work date by 4 date b WALLBOARD NAILING D.W.V. y by date _ 36 L��,Eby date.5_ L) �X' - Water Ljne FINAL INS ECTION 7 �C` by, date vZ by date by date �- t ifly r �L�-'L�.c�L y �'�h�Y'�F[7 S�iE'�.r►��g� Qi� � }trD "y ZOOS f E00 Tl'r AV �N r� 6 a z. -2-0 7 z suL� ��s� ��o I l�t F .v c+ i- �,�;fz d 521E ►�{-� A�ti cl 62 -7/Zto