HomeMy WebLinkAboutBLD94-0612 Addition - BLD Permit / Conditions - 1/20/1996 i
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I
i
ET LJ I L_ 0 1 N C3 p F:' R tvi I I' FOR I N; PEC'T I ONS CAIA_ '427-9670
BETWEEN 5pm AND Bap► 427-7262
BLD94• 06t2 PARCEL t32235510000N PLAT t13RP1-0 DI V : BLK . LOT -
JOB ADDREOS : E 9381 STATE ROUTE 106 UNION PERMIT
OWNER : DAVID EVANS 898-3441
CONTRACTOR s NULL & VOIn EXPIRATION
LEGAL .- 1100I POINT T1 A
CLASS OF WORK . . :ADD BFDR : 1 BA'THi i 1YPf AMOUNT BY OATS RECEIPT 1TYPE A101111 BY DATE RFCEIPTI
TYPE OF U5E . . . . tSF STORIES . . . . . . . ; I z. � �- .�. .-.-..�-:•
OCCUP . GROUP . . . t': BUDG . HE i GHT . , t 0 .Oft ENfE t 25.04 Ks 111111106 411# ts, t 4.51 F:S #1117196 4118
TYPE; OF CONST . . :? F I RE Pt.ACES . . . . : 0 P111 1 176.01 K, 61111196 4110 `
OCCUP . LOAD . . . t 0 WOODSTOVES . . . . : 0 I'tCK t 70.10 KS 011111iif 4110 f
DWELL .11NI rS . . , . : 0 PARKING SPACES : 0 PLM ! 24.011 kS 01111196 4119
INSPECTION 'AREA i 3 SHORFL INF? . . . tY IIC0 1 ?i.80 KS 11111196 4110 4TOIALr 3:9.58 `/ALUiAU641 "25951
tCLE.'�'1.Si.'?YTlII14._�S[�11SSdi@tlsLYylC+fC2TC?_,'L_'fYJC ['. R�^.t,:1"iS21i=i.Y.:'3:�'CY`-'.:4
SETBACKS-___... .... ..__ _ ___. -TOILETS . ; . . . . . . . • 1 Ft}E - TYPE:S---_--__.--_ POILERS,'COMP----- MOBILE HOME?—
FRONT . . -N 0 .01t SATH BASINS . . . . . . . 0 . /FLE/ / / : 0-3 HP . : 0
REAR . . . .S 5 .12fft BATH TIOBS . . . . . . . . . 1 3-15 HP . : k' MODEL t?
SiDE ( 1 ) .E 5 .0ft 1HOWEAS . . . . . . . . . . . 0 FURN < 100K STUt 0 15-30 HP . : 0 -MAKF- -_ .- --
SIDE(2) .W 5 .Oft WATER HEATERS . . . . . 0 FURN >miOOK BTU : 0 30-50 HP . t 0 i
SHRLINE .N O .Oft CLOTHES WASHERS , . t 0 FURN -- Fi.C10R . . . : 0 50+ HP . : 0 -YEAR----- ----
AREA ----__._ __ ._____ KITCHEN SINKS . . . . : i HEAT PUMP . . . . . . t 0 ?
LOT S [ZE . . t? FLOOR DRAINS . . . . , ; 0 VENT SYSTEMS . . . t 0 IVAP COOLERSt 0 tFNGTH , A
BUILDING . . . . 5324f DRINKING FOUNT . . . : 0 VENT FANG . . . . . . : 0 HOODS . — . . . . t 0 WIDTH . : 0
BA.SEMFNT . . . : 00'f LAUNDRY TRAYS . . . , : 0 DOMES . 1 NC I N :0 -SERIAL 4-- --- -
DECKS . . . . . . a 013f DISHWASHERS . . . . . : : 0 AIR HANOL #NG UN 1 TS--- COMMI.. . I NC I N rO ?
GAR/CARP :? Oaf GARB DISPOSALS . . . t 0 tip- 10000 aft . : 0 RELOC/REPAIR : 0
A"r/1)T . :? URINALS . . . . . . . . . . t 0 > 10000 ctm . : 0 OTHER UNITS . t 0
MISC PLM FIXTURES : CAS OUTLETS . : 0
PROJECT BE3CgIPTiOq A001T1OR A891. 810, 1 BATA I N463Y, Rf.P EXIST WlRiT0I5
PROJECT tOCATI011t2.4 MILES EAST Of 01101 POST OFFICE
THIS PERMIT BECOMES Nutt AND v0iH IF 44tt OR CONSTI4CTION A01 0112FU IS NOT CONIENCfe WHRIN III DAYS, OR If CONSIlUCTIO1 OR WORK IS SUSPENDED FOR A PERIOD
OF 181 9AIV AT ANY I111 `TER K 10' IS COMIENCEP. EV14FICE Of CONTINUATION Of 10t1( IS A PRO9PESS 11SPECTIO4 1ITRRI THE 161 DAY PFA'O0. :" 1BAI- INSPECTION MOST BF
!PPROVED OfFOIF RUIL3, C�IhBE OCCOPiED.
OWNE1 OR AGENT
4t# P>lMf, rk + #a191/01 � COMPLIANCES TO ATTACHED CONDITIONS IS REQUIRED
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 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
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Cdae No . : BLD94-0612
For - DAVID EVANS
Poge •. 1
} The proposed pru Jett mu<,t be cons I rate►nt with all Sapp I i (;ah I o a i i c I ea and other
prov1tione of thin ShureiIn" Managereent Act , its rules , and the Masan County Shoreline
Master Program .
} Tempor•+cry erosion control mea.a►rros roust tore Implemented to prevent water quality
degradation of adjacent waters or wetlan1s .
3 Approved per site-plan .
«,3 The uE.e, hand I i ng and storage of ha;ardour materials or f i ammah 1 e and combustible
dt liquids In excess o 0 gallons Is not allowed withot►t the appi oval of the Mason County
Fire Met shal ►/ '
X
�) Propose+d , et'
u urr3 o any portion r hereof gi-eater than 30" in height from grade line,
must ►ra i .1'ta I n i m of 5 ' set knack f rvm all property 1 i nes, easements and right of
ways .
X__..._.—.._ .
All approved panns are reyulred to be on- site for Inspection purposes . If Inspection is
oalied for sand plans are not on site , Approval WILL NOT be granted . in addition , a
Re- Inspection fee In the amount cof $30 .00 per hour (minimum 1 hour ) wr l l be charged and
must be ooil.eoted by this department prior to any further Inspections being performed or
approval grante j.
X
PURSUANT Tel 1991 UNIFORM BUILDING CODE . SECTION 305(C ) AND SECTION 513 ALL. SITES MUST
' HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO Bt PLAINLY VISIBLE
AND LEGIBLE FROM THF STREET OR ROAD FRONTING THL PROPERTY , MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR Tn CALLING r•OR ANY SITE INSPECTIONS . A
REINSPFCTION FEE BASED N RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CON�� TOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
I NSPECT IONS ,
Bh. ALL CONSTRUCTION MUST MEET OR EXCF D ALL LOCAL CODES AND UBC
REQUIREMENTS
r
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 FRAMING by date by date by
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
MASON COUNTY
\ Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
X
c1 Changes to Uapproved building plans that effect corn I lance to the 1991 Washington State
Everg; Code, 1991 Ventilation and Indoor Air Oua1ity
Code , tile n i form Building Cade and/or Mason County R Ions roust
bra approved by Mason County prior to oonstruat i onX_ � '
1. ) CONSTRUCTION PROCESS TO BE F I FI D CORRECTED AS REOU ^ ER MASON COUNTY F30I L.D I NG
DEPARTMENT ;+ND UNIFORM BUILDING CODE .x
111) PERMIT `'TO DRILL SEWAGE SYSTE" TRANSPORT LINE UNDER THE ROAD MUST BE OBTAINED AND THE
SEWAGE SYSTEM HWALXrb AS PER THE APPROVER DESIGN BEFORE THE HOUSE CAN BE OCCUPIED .
a
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 FRAMING by date by date by
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
a KILDING
MASON COUNTY Permit No
PERMIT APPLICATION �C�
MAY 0 3 9L W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 V-
PLEASE PRINT A
NIA ov-
# , Phone#
Site Address 9'�8/ La9Y /e Fi e District#
c�
City St�_Zip
Directions to Job Site
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
Clty 4 St Zip
#2 Contractor Name -Contractor Reg# �d
Address ! Expiration Date
City. /+ St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well_z
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel NQ2223.5 - -
Legal Description /F'P e ITT O
#5 Building Square Footage: (existing/proposed)
1st FI '(0_/J'3j 2nd FI / 3rd FI / Q Loft D / C7
Basement / Deck / #bedrooms / / t #bath rooms_ /—L _
Garaged' _/�_Carport (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building Describe work
S
ird• It/, �IPirl4 SSG
#7 Type of Job: New Add 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 ad' cent to subject property:
River Pond Creek Stream Wetland Lake Mar Saltwater easonal Runoff Other
win n the site Ian ;
Show following o p 83,
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography '
Wells
Septic Systems
p
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
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each) FQg Mechanical Fixtures1$6 each?
No. Toilets CIRCLE FUEL TYPE: Ga Electric,
Bath Basins Heatpump, Other
Bath Tubs
�j�D No. Units �! �P Fees
Showers _ Furn BTU
Hot Water Htr Heatpumps
_Laundry Washer Vent Systems
Sinks 3. 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
�G
TOTAL PLUMBING $ _ . 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 $Z%
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 BU G D ARTMENT. DEPARTMENT.
X OWNER X BY
DATE 7 DATE
FOR OFFICIAL USE ONLY: Accepted by: / ' Date: %`
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health: D ` Q S
to, 11
,&H
Building Plan Review
Occupancy Group: Type of Const
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit /7 �v o O
Plan Check 70 , ba
Plumbing Fee Zy, o0
Mechanical Fee 2 r , d o
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee 9 . S-0
Other
Other
Building Valuation: Z 3 y y` TOTAL FEE 2 5�• S U
Date Checklist Prepared_
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE
Permit Number '(ae 2-Address •n U Sq. Ft.
Name on Permit EJA�V L C_ , tractor/Phone# 8`i S-- ZLH
Compliance Method: Prescriptive 17 (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: (I sq.ft.h1FA/150 sq.ft.floor area-cross vented)
FRAMING
( ) (x1 ( 1 Standard ( ) Intermediate ( ) Advanced
( ) ( ) Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.)
( ) (>c� Standard air seal: (Bottom plate/subfloor,rim joist/mudsill,window/door frames,penetrations condition to non-condition.) t
( ) Attic ventilation(I sq.ft.NEA/I50 sq.ft.ceiling area)*t 1f1 Ll.rr q`j C L-X-1
( ) ( Spot exhaust fans: (4"exhaust-bath/laundry 50 cfm C.25 WG;kitchen 100 cfm @.25 WG. Vented out with dampers.) Q{ S
Fresh air Ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.)
( ) ( Whole house exhaust fanF__Cfm(Intermittent system manual&auto controls/sone less than or=to 1.5 at.I WG)
7
INSULATION
Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6"
above bait insulation)
Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.)
( ) Qsq Wall insulation(above grade) R- Z I_(Batts face stapled)
( ) ( ) Wall insulation(below grade-interior) R- (Batts face stapled)
Vapor retarders on walls(Faced bait,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- C) 1"At Vapor retarder&I"air space)
FINAL
( ) Floor insulation R- (Substantial contact w/surface,supports less than or=to 24"oe,not blocking vents)
( ) ( 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-8(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: E1EC- ice [�� �l�Pa II 1& 37'oc'
( ) ( ) 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.)
( ) ( ) 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.)
( ) ( ) 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.
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.
1 LAC) U S'S
ccp3w o vie I �.l
3-�' 0 1tA
elk
Total glazing area: q
Total conditioned area: C '�
Percentage glazing: . ' 10 Verified:
DOORS
Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. Jwpector-
Verify door information during field inspection.
Date
Type/Quantity U-Value Manufacturer Rev. Insp.
:sac` i' &—..Y1 czQ ft.
Ce
Signature of Building Inspector: Date of Final Inspection:
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton,Washington 98584
(360)427-9670
BUILDING PARKS & RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
JANUARY 4, 1996
RE: PERMIT # PL,-,) g4--DW Z
DEAR 1ti l (I-. i) S
ON U 3 / )(� /q THIS OFFICE APPROVED FOR ISSUANCE THE ABOVE
PERMIT NUMBER. PURSUANT TO THE UNIFORM BUILDING CODE, SECTION 304,
THIS PERMIT, ONCE APPROVED FOR ISSUANCE, MUST BE ISSUED WITHIN 180
DAYS TO STAY VALID. FAILURE TO PICK UP THE PERMIT WITHIN THE 180
DAY TIME FRAME WILL VOID THE PERMIT AND IT WILL BE NECESSARY FOR
YOU TO RE-APPLY FOR THE PERMIT THUS, MEETING ALL NEW REVIEW
REQUIREMENTS.
FURTHER, THE UNIFORM BUILDING CODE, SECTION 304 ALLOWS FOR THE
COLLECTION OF THE PLAN REVIEW FEE IF A PLAN REVIEW HAS BEEN
PERFORMED AND THE PERMIT CANCELED. IN THE EVENT THAT YOU NO LONGER
REQUIRE THE PERMIT OR CHOOSE TO CANCEL THE PERMIT, THE PLAN REVIEW
FEE DUE ON THIS PERMIT IS $ (}.�, THE CHECK OR MONEY ORDER
SHOULD BE MADE PAYABLE TO THE MASON COUNTY TREASURER AND SUBMITTED
TO THIS DEPARTMENT FOR PROCESSING. ONCE THE PLAN REVIEW FEE IS
PAID, WE WILL RETURN THE PLANS TO YOU AND CANCEL THE PERMIT
REQUEST.
IF YOU WISH TO R`YOtM- E;RMIT NOW, THE AMOUNT DUE FOR YOUR
BUILDING PERMIT I $ r . -c -, ONCE RECEIVED, WE WILL ISSUE
THE PERMIT, EITHER THB 7ZICE OR WE CAN PROCESS THE ISSUANCE
THROUGH THE MAIL. THE PERMIT WILL REMAIN VALID FOR A PERIOD OF
180 DAYS . AT THE END OF THIS 180 DAYS, AN INSPECTION WILL BE
REQUIRED OR A ONE-TIME ONLY EXTENSION CAN BE GRANTED THROUGH LETTER
REQUEST HOWEVER, ALL FUTURE EXTENSIONS MUST BE GRANTED BY PROGRESS
INSPECTIONS.
PLEASE RESPOND TO THIS NOTIFICATION PRIOR TO JANUARY 22, 1996 .
SINCERELY,
l/
I( Q *b_q-r\ S (D (_ply
KATHLEEN SOINE
BUILDING DEPARTMENT
(306-427 -9670) EX 354