HomeMy WebLinkAboutBLD94-0236 Addition - BLD Permit / Conditions - 3/31/1994 MASON COUNTY
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- Mason County Bldg. III 426 W. Cedar
P,O. Box 186 Shelton, Washington 98584
IF-1 1...1 1, 1 1.R [ N C i* i Ut in I 1 1 ttlt I Nt;('f C t I0N�, Cik1 1 427-•9610
1+E 1441-EN '�->pfa ANI) ► am 421-7262
Ot.094-41236 PARR E f ; I. ';'i'i?3::300,' 10 Pi I` IV - w I PERMIT
,:ii)R ADDRESS- E 1.91 SHERWOOD CRECK RD At,t Yli
uWNER :. TERRY E. AST14A1N 275-.2553 NULL & VOID BY EXPIRATION
C ONT RAC, fl)ft • OWNER 1.5 CON I RACTOR DATE L� Cl Cl BY Ictj
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PRO1frTDf5C9)P1CON�Additi�n
PRQ3FI.I 1.0fAI100,110V 1 10 '11fkUP00 1RFFI, 110A0 1 N F N tiff 11) SIf01111 ADIVEUAY AN fNf IFFT
TM MNIT Offf1w 111111 AND VOID If UARI AR (40STOW-11011 ADINORT71P IS NOT CONNflit.fil UITNIN IRi DAYS OR If (ANSTOD(IIAN OR UORV IS S M 111fD FOR A P1R19A
Of I•Bi DAYS AT ANY TINE AMR 0009 IS COINFOUD, EV14filif Of CONIINNATIAN Of WORY IS A PROMSS INSPR41011 WITHIN THE tai DAY PfkfOD. fINAI INSPICT00 NDSf Of.
A1'PkOVfD RfFQRf' BUIfDIN6 CAN iE (tt(DP1Ii.
r
OWNER OR AOENtr 4AIt. r
f`AYfff ilYf'`C 'f'A A11 nr�frf� rr ui�rvvi.ur- v ru e•.. crvr "xr t.�.._.
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls Jtk-5-45 - �,. FIRE DEPT.
date►I q jq5 by date by S-s'-g date by
PLUMBING OTHER
Groundwork Attic *
date by r a5 ti
date W.V. b WALLBOARD NAILING 3+�` <<°
date �-9 s b i "� a`
/►��, y- 6'f' � '
date by y
Water Line FINAL INSPECTION
date by date by date by
QUA -rc � y
zaxffae �,AL& R-110 „Vb+ L 2l W66
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
(:" 0 r4l 1 11 0 1 1 4,) 01
Case No . : BLD947
fort IFRRY NATMAN
Parfet I
Approved per cife- v I a n
2) A1l ,;77QAv7d 'planR mie r-qutrpd to hp on-sito for i ""p"clion p"Upowon Ii inspoction
jQ to ;2d Vans are not on site , Appro-al 1,1111 N" F be wanl -d . Tn addition , a
Re-Fnspvctj. F n the amount of $30 . 08 per hour W "Im"M I h""r ) uill bw charriod and
mu-;t be coflacted ley thig dppartment prior to any I'"rthar inspoviiony bQ ! nq pprformod or
approval Anted
1) PUMqUAN't In t991 "NjUoRm HoijolMoncODF . %FCFION AUP (r ) nNO SFVTI "M 013 , All MF& NO I`
HAVE AppkoVFD HUNRE'lls OR ADDRESSUq VPOVFDFD IN S"CH A Posill "N AS 10 HF PIAINIY VIqTRIV
• AND LENIME FRom rHF STRrFF OR ROAD IR"NIING THF PROPFUlY MASON 1011MY h"11DIN6
nEPARUNFNI REQUIRES THAI IH19 HE COMPIF !Fb PRIOR 10 VAIIINQ FOR ANY 4111 lN4PFVVIONN A
* REINIPECIIUN FEE . BASED ON . RAILS FN FARIF 1A HE 4HF 1991 "ITIMNI'l 11" ll " IN6 r"DF uIll III
*''-9=13 IF OWNER I CON IUACTOo win in posi AnDRFqS ON 11117 VRino in RPO"rqlIM'i
4 The use , handling and storaqp of hazardous matetials of Mmmalwip and -nmb"gtihle
liquids W excess of 10 qalla"s in not allo"od without Lhp appro"al of the Naso" Co"ntY
Fire MarAha
S) Al. !_ COMSIRUCTION N"Sl MFFI OR uxcrrn All IOCAI UODUS AND 118C
RFOUIRENENTS
..........
6) Proposed 9tructure or port lonA thereof ulkh an pro jectio" over W K haiqht from qrado
line , must maintmin as S ',;vpyattnn distance batwoyn adjacont and that
furthest project- lon X
71 Subjwcl, to conditi "nn of Rena"rem In"ds and Critinat Areas ( RIC )
Macklist ,
CONCRETE
MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date h,. Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwcrk Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 hh
#1 Ow er r - / c_ ./ Phone#sZQ Z
Sit ress/�/.��i� !L'I� &'-A Fire District#
City 411XV St LL/rcL, Zip
Directions to Job Site e-e- '
'r1r) _'5 W,�Ly QA1 eke_ Z
Owner Mailing Address L:.. r--
City St Zip
Lien/Title Holder llwdalImo_
Address
Clty St Zip
#2 Contractor Name Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required) ei6IRI
#4 Parcel No. Z� z2.6 - -3-- ec 7-A 43 Of SiX
Legal Description yi.9ipi,! /1lc.,Iv�G LlJ GG
#5 Building Square Footage: (existing/proposed)
1 st FI 1 / 5�- _.2nd FI &- / A�— 3rd FI / Loft
Basement -.6i / - Deck #bedrooms�z/ /J, #bathrooms , /
Garage Carport $ / $ (Circle:Attached or Detached?)
Other sq.ft. 532 / 151,57Z
#6 Use of buildin E Describe work
#7 Type of Job: New Add _Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION D U
Model Year Make Model
Length Width Serial No. FEB B �� �
# Bedrooms # Bathrooms Type of Heat GENERAL SERVICES
Purchase Price$
#9 Indicate by circlin the applicable source if any water is on or adjacent to subject property:
River Pond eek Stream Wetland Lake q arsh Saltwater Seasonal 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 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
331.ay ��,�•��, Sfr�cf toS
n, y�
9 �
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N _+,o7
y� o
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p r/�s8
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
AdJ_tt,o Exi.41 0
r 2.,
creZ,�
8'e-0
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: �i"1lCfi,d- -No C CA i'llCnn_S of L(
r
Environmental Health:
Building Plan Review
Occupancy GroupType of Const.��
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 06
Plan Check s-o
Plumbing Fee � '� CA=>
Mechanical Fee ov
Wood/Gas/Pellet Stove
Radon Monitor b
Violation Fee
Site Inspection
Building State Fee `j SIC!)
Other
Other
Building Valuation: 3; �!g TOTAL FEE '
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No.XToilets CIRCLE FUEL TYPE: Gas,92ictric
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
"''Showers Fu rn BTU
-&Hot Water Htr Heatpumps
--kLaundry Washer _ Vent Systems
-`Sinks Spot Vent Fans
'&`Floor Drains No. Boilers/Compressors
'—Laundry Basins _ HP
•&'Dishwasher No. Air Handling Units
Disposal _ cfm#
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 ellet 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 $ 0
0
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 AM AWARE OF THE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE CJ DATE
I
FOR OFFICIAL USE ONLY: Accepted by: Date:
• r
C
G
aaa
00
V
�j � QS �
Date Checklist Prepared
MASON COUNTY BUIVOING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE
Permit Number 9tA-0ZXo Address E . IQ 1 6 hQrkxuA CC. _R8 . So. Ft. R 9 I
Name on Permit f;Q5A-yy)ann Contractor/Phone# Z-7S • 255'3
Compliance Method: Prescriptive JIL _(Option) ( ) Component ( ) Systems Analysis
Date FOUNDATION
Insp. Rev.
( ) ( ) Slab: R- (Ext.foundation down to frostline/slab bottom;or interior 24"top of slab&horizontal. Radiant under entire.)
( ) ( ) Below grade exterior wall insulation: R-
( ) ( Crawlspace ventilation: Cv' f(1 sq.ft.NEW150 sq.ft.floor area-cross vented)
FRAMING
(✓SStandard ( ) Intermediate ( ) Advanced
t.� Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.)
( 1�f Standard air seal: (Bottom plate/subfloor,rim joist/mudsill,window/door frames,penetrations condition to non-condition.)
() ( Attic ventilation (1 sq.ft.NEA1150 sq.ft.ceiling area) L(Q 1 't'$(D= V1,50 = Z� '��l
u4-C
( ) ( Spot exhaust fans: (4"exhaust-bath/laundry 50 cfm @.25 WG;kitchen 100 cfm C.25 WG. Vented out with dampers.)
Fresh air ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.)
( ) ( Whole house exhaust fan:66-cfm(Intermittent system manual&auto controls/sone less than or=to 1.5 at.1 WG)
t ZO
INSULATION
( ) ( N Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6"
above batt insulation)
( ) ( Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.)
( ) ( ✓� Wall insulation(above grade) R- ZI Mill-.(Batts face stapled)
( ) ( ) Wall insulation(below grade-interior) R- (Batts face stapled)
Vapor retarders On walls (Faced batt,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"airspace)
FINAL
Floor insulation R- 3b rN to (Substantial contact w/surface,supports less than or=to 24"OC,not blocking vents.)
( ) ( tom Ventilation system is operational (spot,whole house,fresh air to all habitable rooms. If integrated system,certification by installer is
required.)
( ) ( ) HVAC ducts in unconditioned areas R-g (Joints sealed;mechanically fastened with a minimum of 3 fasteners.)
Pipe insulation R-3 (Hot and cold lines in unconditioned areas-service or recirc.see Table 5-12).
( ) ( L< SHW heaters: (NAECA label,separate power or gas shut-off,on R-10 pad if electric in unconditioned or on concrete.)
Heating system type: 611G, wm"oard /t. A,11 h4AA r-c, 1_A-TZ5 Co 1 DU w 't�S
( ) ( Radon monitor on site with instructions. No. Supplied by MCBD
( ) ( Thermostat: (Heat range 55-75;AC 70-85;both 55-85. Backup heat controls(lockout)prevent simultaneous operation of primary system.)
Solid fuel appls.: (Glass/metal tight-fitting doors;dir.comb.air source,or 4"dia.dampered,indir.source for existing const.)
( ) ( LY 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 beams,wall receptacles,fans,recessed lights.)
t u(VKt+t.1M
Gelling Insulation R- _(lnsu ate&weatherstrip access,baffle to prevent spillover-no cardboard)
Vapor retarder paint if a vapor retarder was not installed when insulation was installed.
AN
tLACING `
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.
J1 till O M u u
a- u Pr
71(CL4° AlZO ��
S°C9 1
Z°3o
3oSo I 15
E
6nlon
Lc
• Total glazing area: 1
Total conditioned area: Q
Percentage glazing: �6. O Verified:
DOORS
Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. nspector -
Verify door information during field inspection.
Date
Type/Quantity U-Value Manufacturer Rev. Insp.
D 6(v S'lxl
off'
me'µ
Signature of Building Inspector: Date of Final Inspection:
PLAT #
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IL SERVICES DIRECTOR
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'ARN/NG.• MASON COUNTY HAS NO RESPONSIBILITY TO BUILD, A.F.0239995
IMPROVE, MAINTAIN OR OTHERWISE SERVICE THE LEGEND.
PRIVATE ROADS CONTAINED WITHIN OR PROVIDING Holman S A�
SERVICE TO THE PROPERTY DESCRIBED IN THE SHORT PLA T •=SOIL LOG Professional Land S
1l0 West Ralroad Sh
(206)426-2990