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HomeMy WebLinkAboutBLD93-0202 Addition - BLD Permit / Conditions - 3/16/1993 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 0 1. O'NA 4, 1, 1 II twit 11 1 Ii I N P 1, t, I i i 114 , I o 1 1 4 9 6/0 I'll lilt t.1d pill f;Njl ii o;js I oll 6;, 8 L 09 3—0 2 0 4 01-T 11, A Y C 1� I If-f-U OR SHU 1. 1 ON p e%o Ij H I,il� RON GRINNFIt 4 2 6 A 4 4 3 I ft t I: J PAR"iONS & MYERS C"I -04hO SL 01V �c t A',.%, M lJohl A I I D fit lli� 0 1� I h 0 IfM 111111011111' BY ItAlf REQ I Vi IIAIF 91 If,I ".) y 0 L o 1 0 1,l_ , s:,F If It i I 'I I 4=pmXft7V., -:�­­____f__1_____._______ 11 t)ij 1-, 1)it : I I t1it11i t, ,VT Y 1,1 OF C it N,*; I I I fit 1-,1 NI 0 Ilia q 4 t.f,0 C('III' 1 0 A D I J,,., i OVI 0 IPto to 15 0 111 ll.11 1 1 r';.'t,i, D w V I t (IN I 1 0 1 r.kf. 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WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Fou*idation 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 Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by par'lonj & n/yeri conitrucfion. P. 0 lUox 921 JAPIEon, f/!/a. 98584 PA. # 427-0960 PARCEL NO. 32127 50 00144 LEGAL DESCRIPTION : LAKE LIMERICK 01 LOT 144 N ,�4 F _J,�L �X1sriN Co�E¢�n �� Po )EW AbDb 1010 Q h ©o �.- iA 3 4- 14S 80.00 FF E DRIVE + Date Checklist Prepared MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1991 WSEC AND V&IAQ CODE COMPLIANCE Permit Number Address_ j Ali j;fyy _ .T (r; V e Sq. Ft. Name on Permit GR7_NI1A4,L — Contractor/Phone # y4/- 0002 Compliance Method: O Prescriptive (Option) ( ) Component Systems Analysis Date FOUNDATION Insp. Rev. ( ) ( ) Slab: R- (Ext.foundation down to frontline/slab bottom;or interior 24"top of slab&horizontal. Radiant under entire.) ( ) ( Below grade exterior wall insulation: R- ( ) Crawlspace ventilation: OIFI - 72 (1 sq.ft.NFA/150 sq.ft.floor area-cross vented) rsv FRAMING Zvt.sol.Standard ( Intermediate ( ) Advanced ( ) ( ) Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.) ( �Standard air seal: (Bottom plate/sub(loor,rim joisUmudsill,window/door frames,penetrations condition to non-condition.) ( -)----Attic ventilation (I sq.ft.NIA1150 sq.ft.ceiling area) ( ) ( ) Spot exhaust fans: (4"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.) t'1 ( Whole house exhaust fan: ?D Cfm (In.termittent system manual&auto controls/none less than or=to 1.5 at.1 WG) C/oo4fe i,� �emodeled ��l,�ooM INSULATION ( 'Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6" �� ove bait insulation) ( �J/ McCh:ical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.) ( Wall insulation (above grade) R- t-s (Batts face stapled) ( ) ( ) Wall insulation (below grade - interior) R- (Batts face stapled) Vapor retarders on walls (Faced bat(,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& I"air space) r^(��� C/+'� 1 ��w►t� FINAL — �Io6 r o- ex iil;»s - ( ) ( � Floor insulation R- 3;? — (Substantial contact w/surface,supports less than or=to 24"OC,not blocking vents.)-f l'1Cr&.3,,4 4o ( ) ( -��Ventilation system is operational (spot,whole house,fresh air to all habitable rooms. If integrated system,certification by installer is �— required.) .F"J,,(,.�� �_ I ( ) ( ) HVAC ducts in unconditioned areas R-8 (mints sealed;mechanically fastened with a minimum of 3 fasteners.) 61 I t nci . ( ) ( -Y___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.) ( ) ( ) Heating system type: ( ) ( ) Radon monitor on site with instructions.No. - supplied by MCBD ( ) ( ) Thermostat: (Hea(range 55-75;AC 70-85;both 55-85. Backup heat controls(lockout)prevent simultaneous operation of primary system.) ( ) ( ) Solid fuel apply.: (Glass/metal tight-fitting doors;dir.comb.air source,or 4"dia.dampened,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.) ( yyp Ceiling Insulation R- (Insdlavt6&weatR-hetoorstrip. 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. �' S e „• / 77 / IYS "-0 I' US►h ow � t n a h 4S D YS ! "l; and Total glazing area: 1. Total conditioned area: Percentage glazing: r qq Verifled• 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. O� Signature of Building Inspector: Date of Final Inspection: • - Permit No.BLD MASON COUNTY BUILDING PERMIT APPLICATION PLEASE PRINT 3D1a-1 Sv DytyU #1 Owner RON G2,11.111LE.L.I^ Phone# Site Address ca fz�"�CIIFfG, City_ SNF.L-Coin( State Zip 4?8�T64 Directions to Job Site TAKE SEe.OND TO LIME121'CK TU&AI R►cI-r OR `ro P6C.IIPrED C-6 Pi;>P oQ • F,IUf':- 310QX 4e20"E 15 Vey4VO 11?c#1 S 4 4tE- F_Oo�. &2057- P_Al(tN C, o L>Fc.K� Owner Mailing Address ,¢$:�df- City_ iff/044-0A State u/lq Zip Lien/Title Holder Ss ?� AS �BOv Address City ` / State I Zip #2 Contractor Name 1 f 46oN5 f1 . �p Contractor Reg #. o/►�Qg�pz Addressf0 301C 4a1 Expiration Date /O / o/ 145 City 5t1,EL-T°A) State �U%1t Zip 05_'& Phone ?4'0 #3 If septic is located on project site, include records. / Connect to Septic? '� Public Water Supply � Well (If residential, proof of potable water may be required. ) #4 Parcel No. 3 212 7 $-� CI D 1 4 Legal Descriptio l\/ T' #5 Building Square Footage: (existing/proposed) 1st F1 / 401�? 2nd F1 / 3rd Fl / Loft / Basement / Deck / #Bedrooms / #Bathrooms / Garage / Carport / (Circle: Attached or Detached?) Other sq ft / #6 Use of building 5 If-R Describe work APO 16e 54 FT To gjzrc giFA) ARtzA 1=ok suN �e�r 1✓ doom #7 Type of Job: New Add_ Alt Repair Demolition Woodstove Re-roof Bulkhead Other #8 Mobile Home Information Mode! Year Make Model Length Width rial No. #Bedrooms #Bathroom Type of Heat #9 Any water on or adjacent t perty: Saltwater Lake River Pond Wetland S pia runoff Other Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways water Lines Shorelines Drainage Plan Topography Septic System Wells Proposed Improvements Easements Name of Flanking Street Scale: Name of Fronting Street Date: APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW 5 Plumbing Fixtures ($2 .00 each) Fee: No. Boilers/Compressor Fees: No. Toilets 0-3 HP 6.00 Bath Basins 3 -15 HP 6.00 _Bath Tubs 15-30 HP 6.00 _LShowers 30-50 HP _ 5.00 Hot Water Htr 50 -1- HP 6.00 Laundry Washer Sinks No. Air Handling Unit Floor Drains <= 10, 000 cfm. 7.50 Laundry Basins > 10, 000 cfm. 7.50 Dishwasher Disposal Other Urinals Evap Coolers Other Hoods Fire Suppression Permit Basic Fee 3.00 Domes . Incin. TOTAL PLUMBING $ Comml. Incin. Reloc/Repair 6.00 Mechanical Fixtures Gas Outlets x 2 .00 No. Fuel Types Woodstove separate Furn < 100K BTU 6.00 Other Furn >= 100K BTU 6.00 Furn - Floor 6.00 Permit Basic Fee 10.00 Heat Pumps 6.00 TOTAL MECHANICAL $ Vent System x 3.00 _Vent F ns x 3.00 \ 2- CADET 5 Nc�) 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 CONTRACTORS AFFIDAVIT I certify that I am exempt from the requirements of the I certify that I am a currently registered contractor in contractors registration law RCW 18.27 , and am the State of Washington and I am aware of the aware of the Mason County Ordinance requirements for ordinance requirements regulating the work for which which this permit is issued and that all work done will the permit is issued and all work done will be in be in conformance therewith. No changes shall be conformance therewith. No changes shall be made made without first obtaining approval from the Building without first obtaining approval from the Building Department.it-rwd Department. X OWNER E L W /� X BY DATE: r-ER. 7-3 : )4 93 DATE Return permit to: Department of General Services 426 W. Cedar Street/P.O. Box 186 Shelton, WA 98584 427-9670/1-800-562-5638 FOR OFFICIAL USE ONLY: Accepted by !�-kt ,,,L Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Ay'po1 C..L {yy VPe"r Plarn-ng: Environmental Health: Building Plan Review: Occupancy Group: Fire Marshall: Other: FEES Special Conditions: Site Inspection Building Permit Violation Fee Violation Investigation Fee ' Plan Check Plumbing Fee Mechanical Fee Woodstove Fee Building State Fee Building Valuation: TOTAL Mason County Public Records Request Form 426 W. Cedar Street, PO Box 186, Shelton WA. 98584 Phone: (360) 427-9670 X-352 Fax: (360) 427-7798 I would like information: Mailed Faxed_t Picked Up Date: '2 Requesters Name: >&� (�o NGP'A� T Company Representing: Address: 2. ('- AY d5/Z Email: lyc-"-LC— 'o-z. He'— G City: State: t Zip: A Phone: Fax: (K5 -- ��Z7 Parcel No. 3 Parcel Address:— Owner: P E(f-J t4 t K LfZ, Previous Owner Please Provide Records For The Following: Environmental Health Planning Dept. Building Dept. Please specifically descr e what records or kind of records you are requesting: RCW 42.56 I certify that the information obtained fro 4is eq po not be used for commercial purposes. Signature Required: Requests may be charged per RCW 42.56. During file review any pages you wish to have copied ( excluding non public record documents) must be tagged and charges will be assessed at .15 cents per copy. Larger than 8.5"x 11"will be charged at a higher rate as established by Mason County resolution. In addition to the per copied page fee standard postage rates will apply. Make Checks Payable To: Mason County Treasurer; Total Fees Due: Official Use Only Completed By: r-r,� Ext. S K 1 Date: '1°I Notes: �o *Please allow 5 business days for us to re and to your requ st* If items are being mailed please allow an additional 3 days until you receive the request submitted.