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Home My WebLink AboutBLD92-1390 Kitchen Addition - BLD Permit / Conditions - 12/10/1992 MASON COUNTY Mason County Bldg. 111 426 W. Cedar R0. Box 186 Shelton, Washington 98584 V 7-162 Hwy 106 . . . . . . . I "N KATHERINE NORDSIRON n WN t:R I k" c N I R AC U 0 R ii, 1W i I It (It 1 III' tikill!l- 0 1: 1 (4 viiO 1 Ilt I I i, Ili it i; t-'. h I !I It; -I!f tnt, , lilp, r,r iii ili A fi'0 -111 1 1 c , ,t4 p *I f R t Ili 11 ill 1 11 1111 11AY', Al Atli 1141- A! If It 'il k 110HOHO film it ulip, f I j01 4 09 ilf k1l1,It it AbEpTi I I ANCL 10 it I I A C H t it c 0 N 0 1 1 1014f; I i Fi CONCRETE MECHANICAL MOBILE HOME Footings-Setback IT/ date by Ribbons date % y, Gas Piping date b Foundation Wall i/ G, date by Set Up date by INSULATION date by BG/:.LAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date date y by date by PLUMBI v OTHER Groundwork i Attic date '� �I date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY • Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 IN 1 ) r. CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSUL TION date by BG/SLAB Insulation Floors Final date by date ,�� . 's-� date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBO�RD NAILING date by date by<I93 � . Water Line FINAL INSPECTION date by date ,,by Y� ��,� date by 1 Date Checklist Prepared MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1991 WSEC AND V&IAQ CODE COMPLIANCE Permit Number Address E lleo(Z ion Sq. Ft. Name on Permit /06 ST"/n - LL. Contractor/Phone # AkF SPE-& Compliance Method: ( ) Prescriptive (Option) "�4 ) 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- r Crawlspace ventilation: %. __;_I / (1 sq.ft.N A/150 sq.ft.floor area-cross vented) >i \ m ; FRAMING ( ) �' ) ( •) Standard ( ) Intermediate ( ) Advanced (� �) WoodStoves aid/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.) (� � ) Standard air seal: (Bottom plate/sublloor,rim joisUmudsill,window/door frames,penetrations condition to non-condition.) Attic ventilation (1 sq.ft.NEA/150 sq.ft.ceiling area) (� � ) Spot exhaust fans: (4"exhaust-bath/laundry 50 cfm @.25 WC,kitchen 100 cfm 0. W . Vented out with dampers.) `y ( A�c/C Fresh air ventilation: Available to all habitable rooms. Installed and operational. (Integratec?Nd forced air,C windows,wall ports.) ( ) Whole house exhaust fan: cftrl (Intermittent system manual&auto controls/sone less than or=to 1.5 at.1 WG) C � INSULATION ( � ) Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6" (' n above bait insulation) J ll ( �j ) Mechanical ventilation ducts R-4 (Exhaust in unconditioned space&supply in conditioned space.) CI F r—)T✓f+e�k J ( ) '(�) Wall insulation (above grade) R- /J. (Batts fact stapled) eMAUS'- 'Doi,)14. ( ) ( ) Wall insulation (below grade- interior) R- (Batts face stapled) 5- Vapor retarders on walls (Faced bast,or 4 mil poly or perm paint.-circle one) ` I ( x ( ) Rim joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly.) ('^4 Vaulted ceiling insulation R-0— (vapor retarder& I"air space) y y FINAL ' vA ( ) ( ) Floor insulation R- f e (Substantial contact w/surface,supports less than or=to 24"OC,not blocking vents.) ( ) ( ) Ventilation system is operational (spot,whole hale,fresh air to ail habitable rooms. If integrated system,certification by installer is required.) X. HVAC ducts in unconditioned areas R-8 (joints sealed;mechanically fastened with a minimum of 3 fasteners.) / pC Pipe insulation R-3 ([lot and cold lines in unconditioned areas-service or recirc.see Table 5-12). r SHW heaters: (NAECA label,separate wer or gas shut-off,on R-10 pad if electric in unconditioned or on concrete.) F— ( ,') ) Heating system type: GA5 4-- ( ) 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 appis.: (Glass/metal tight-fitting doors;dir.comb.air source,or 4"dia.dampened,indir.source for existing const.) Ground cover: (6 mil black polyethylene or approved equal lapped 12"at joints,extending to foundation wall.) ( (,4) Penetrations(All exterior wall and ceiling penetrations scaled to drywall-plumbing,exposed beams,wall receptacles,fats,recessed lights.) ( ) ( ) Ceiling Insulation R- (Insulate&weatherstrip access,baffle to prevent spillover-no cardboard) Vapor retarder paint if a vapor retarder was not installed when insulation was installed. r r GLAZING Plan Reviewer-Fill out this glazing section or attach a window schedule to this checklist. 1MpW9-r- 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 Quanfity Area S . Ft. U-Value Manufacturer Rev. Insp. a° Flo TE W Z�uz5 Total glazing area: Q T Total conditioned area: Percentage glazing: Verified: 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. �'goG B 11,2 4j ry L - �;TE Signature of Building Inspector: Date of Final Inspection: MASON COU= \4v BUELDING PERMIT APPLICATION I PLEASE PRINT #1 Owner Phone# Site Address f✓. 73e.,Z PWY 10� City O K31 c .3 St Zip Directions to Job Site 91,3Y A�01 /l�t-a t4c�Y L64. ::rUyz&-3 f �r vS l '& e V a."3 a M 6 Owner Mailing Address M. 7S6,Z !4"'r ll City d"tc>0 St �-JA Zip �Jh592 Lien/Title Holder �tlzelpf' 1�}r,,zr�-�-„ca�►., Address 5 1 9to. r I b� City lAoto..3 Zip 05f3SgZ � #2 Contractor Name Contractor Reg# 'j Address Expiration date jj City St Zip Phone I #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) rr��/�t� coo 1�lS/ #4 Parcel No.99A- ? -'q`� - 6(w Legal Descripti L. #5 Building Sootage: (existing/proposed) Ist FI 2nd Fllv92 / 3rd Fl Loft Basement-47-6 _ Deck / #bedrooms_ _ #bathrooms_ Garage / Carport / (Circle: Attached or Detached?) Other sq ft / CevE6 c�.-r�L,v #6 Use of buildingjijfitj2 _ '�L,t Describe work LjL3 #7 Tripe of Job: New Add 1/ Alt Repair Demolition Woodstove Re-Roof Bulkhead Other #8 MOBILE HOME INFORMATION Model Year Make Model Length Width Serial No. #Bedrooms #Bathrooms Type of Heat #9 Any water on or adjacent to property: saltwater lake river pond wetland seasonal runoff other Vent Systems X 3 . 00 3ath 3asins Vent Fans X 3 . 00 3ath '�.bs No. Boilers/C ampressors Showers 0-3 HPHot Water Htr 6 . 00 3 -15 Tip 6 . 00 Laundry Washer 15-3 0 HP s 30-50 HP —Flo8'r Drains —6. 0 --- 50 + HP 6 . 00 Laundry Basins No. Air Handl unit Dishwasher -- <= 10 cfm. 7 . 50_ Disposal . --- , 000 cfm. 7 . 50 Urinals Other Other Evap Coolers ;, Hoods Permit Basic Fee Fire Suppression � TOTAL PLUMBING $ Domes . Incin. COITIml. Incin. Reloc/Repair 00 Mechanical Fixtur�g �''`�.- Gas Outlets X 2 .00 No_ Fuel Types Woodstove separate Furn < 100K BTU 6 . 00 Othe� Furn >_ 100R BTU 6 . 00_ I { Furn - Floor 6• QO permit Basic Fee 10 . 00 I' Heat Pumps Permit 0 TOTAL MECHANICAL $ I I 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 ANYTIME AFTER WORK IS COMMENCED i I OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CIZATIF7 THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE � AND AM AWARE I CERTIFY THAT t AM A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAW RCW 18.27 ! OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH IN THE STATE OF WASHINGTON AND I AN AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. DEPARTMENT. CATE n � � DATE i Return permit to: Department of General Services 426 w. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: Date: Show following on the site plan I Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wels j Proposed Improvements Easements Name of Flanking Street Name of Fronting Street Scale: i J Date: APPLICANT TO DRAW SITE PLAN BELO l �---APPLICANT TO DRAW TOPOGRApKy PR OFILE BELO w. 7Y.Lo.L II II :uota2nTpn buzPTTnHll II Fi I aa3-az2':IS buipTTngll II I I I! II II II I 993 a.&ozspooMll II II I I II it II I Bag TvOTUlegD9Wll II II I � I II II II I 993 buiq=Td II II II I II II I I xoa� UvTdll II II I I I II II II I 983 uoT:IEbzPsanz I uoi:IpTO'CAII II II I' I Il II II I aag uoiZPToTAII it II I I II II ZT=9cl bUTPTTnEll II II il II II 11 I uoT2oadsul a�iSII II :suo'r-4tpuoo TlezDadsll sau— Xetp0 tt�TSz�4 ai-�a :dnoaD Aowedn000 I �arrJ :PwT.&OX UrTd baTPTTnH v �. o5 . 5_ ..� u JCY. g�1 •�tQeH TE�uB Au$ :bQT�ta IsAoiddd NOR PWO panoJWV Xrm HSn 202:aao Boa Permit No.BLD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION PLEASE PRINT \ M 6 ��L,�-J #1 Owner Z"aMm&2 I n>6 }mil ,psrt-�,�,� Phone# Js',- Site Address r-� . -73(Z City uwc:>►J St WA, zip 9�592 Directions to Job Site WY lbl rt"o N-LJ`C l6L Gm 7, 3 L! I ( t�Lo&Ic S LZ 4Lu, 0=', 05, Owner Mailing Address ft. -7362 City Ljokc>o St A zip 'Cil Lien/Title Holder fi+Any OP U2L�SZYLOnn Address 2-,0 lt,.> City�L �� ,.� St Zip98'�`1'L. #2 Contractor Name 41:7v�tl It ontractor Reg# ' 6lv o Address «' r 36 i _ iration date zzz City c, 7.;Q St Zip hone #3 Parcel No. - - Legal Description c�pr Tr-, 4 # Use of building�� /�,JE�z�ErA'i" (�*- Describe work Ill S-E. �Z('1"64Ft,�i #5 Type of Job: New Add ✓ Alt Repair Demolition Plumbing Fixtures ($2 each) No. Toilets Vent Systems X 3 . 00 Bath Basins Vent Fans X 3 . 00 Bath Tubs No. Boilers/Compressors Showers 0-3 HP 6 . 00 Hot Water Htr 3-15 HP 6 . 00 Ta".-^-dr'Y' T~Tasher i5-30 HP 6 . 00 Sinks 30-50 HP 6 . 00 Floor Drains 50 + HP 6 . 00 Laundry Basins No. Air Handling Unit Dishwasher <- 10000 cfm. 7. 50 Disposal > 10000 cfm. 7. 50 Urinals Other Other Evap Coolers Hoods Permit Basic Fee 3 . 00 Fire Suppression TOTAL PLUMBING $ `5 Domes . Incin. 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 >a 100K BTU 6 . 00 Furn - Floor 6 . 00 Permit Basic Fee 10 . 00 Heat Pumps 5 . 00 TOTAL MECHANICAL $ If this permit application includes the placement of a fuel tank, a site plan indicating lot dimensions , existing structures, structure setbacks , septic systems , and easements MUST be attached. 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 ANYTIME 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 CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. DEPARTMENT X 01PPER��i 6' ' / ,y �1 �, X BY DATE / r t Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY. Accepted by: Date: Approved Cond Hold DEPARTMENTAL REVIEW - for office use only ApprovaL Planning: Building Plan Review: Occupancy Group: Fire Marshal : FEES Special Conditions : Plumbing Fee Mechanical Fee Other TOTAL Valuation: i I