HomeMy WebLinkAboutBLD94-1067 Cancelled Add Living Room - BLD Permit / Conditions - 1/19/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
datee)Z,-, / ,-3/ } by ��� Gas Piping date b
Foundati n Wa date by Set Up
date�S by INSULATION date by
BG/ AB I sulation 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
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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
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MASON COUNTY 1�'����`7..1.T Permit No.
E
JUL 1,f BUILDING PERMIT APPLICATION k')
ILA Q�L SERVIdt W' Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 00
0
#1 Owner 1�A F,yam["' W G 4 5 S Phone# - 0-7'r
ess 01J�i �[� N tea, K i�1� � rJ Fire District#
ity f3�JF �ti St W 19 Zip 9g2r8
Directions
!vS Jaio Vim& 0 iv 1~ G H `f
Owner Mailing Address C;,,,.rn,t--
City St Zip
Lien/Title Holder C9-ts —
Address
Clty St Zip
#2 Contractor Name O W A, u-it— 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 -,e
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 ar No. /"2 '3 2 o
egal No.
` 17 R �f o P w g.. S e,
#5 Building Square Footage: (existing/proposed)
1 st FI -734, l 9 y Y 2nd FI / 3rd FI / Loft /
Basement / Deck___C2_L #bedrooms 'L / 2. #bathrooms 1
Garage / Carport / (Circle: Attached or Detached?)
Other sq. ft. /
#6 Use of building NO r" Q— Describe work A d d
J,IV/h) G 1Zoery CLA.,
#7 Type of Job: New Add Alt Repair 7C Other
#8 MOBILE/MANUFAKURYD HOME INFORMATION
Model Year ake Model
Length EW;i d Serial No.
# Bedrooms # B rooms Type of Heat
Purchase Price $
#9 Indicate by circling the applicable rce if any water is on or adjacent to subject property:
River Pond Creek Stream W I Lake Marsh 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
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
aka
Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 each)
No.JToilets L,�a CIRCLE FUEL TYPE: Gas, Electric,
t Bath Basins Heatpump, Other
/ Bath Tubs ti-� No. Units Fees
Showers Furn BTU
i Hot Water Htr _ _ Heatpumps
1 Laundry 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 $ ��D No 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 Ot
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
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 �t�ak t{; r--✓ X BY
DATE ^/ � � DATE
FOR OFFICIAL USE ONLY:Accepted,by: CJ' Date: C
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health: OWNER/BUILDER TO ASSUME ALL
RESPONSIBILITY IF DRAINFIELD ARE; \
IS ENCUMBERED.
Building Plan Review . Dk2
Occupancy Group: L 3 Type of Const: �' n
Fire Marshal:
Other:
Sp cial Conditions- FEES
75 Building Permit a , 520
Plan Check
Plumbing Fee 00
Mechanical Fee o J
Wood/Gas/Pellet Stove --
Radon Monitor 8 06
Violation Fee
Site Inspection
Building State Fee L f 5-0
Other
Other
Building Valuation: �D TOTAL FEE Dd
1
8i't;p
q q Date Checklist Prepared
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE Re47ode/ ioo %-
ej�isrii�taa'drfior�
Permit Number q -!0Co Address ME (cam Neu k t f K Q-0( Sq. Ft. 9��t
Name on Permit C A ,p Rotew'F' Contracto one 7 5 30'7 S
Compliance Method: -t4) Prescriptive (Option) ( ) Component ( ) Systems Analysis
tec-frl�
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-
( Crawispace ventilation: 6. 341 (1 sq.ft.NE&II50 sq.ft.floor area-cross vented)
'9114,//SZ) FRAMING
Standard '�,4 ) Intermediate ( ) Advanced
( ) t\A&W Woodstoves and/or fireplaces: (6 sq.inches combustion air supply dud with damper direct to firebox.)
( ) (V) Standard air seal: (Bottom plate/subfloor,rim joist/mudsill,window/d9or frames,penetrations condition to non-condition.)
O /-
Attic ventilation(1 sq.ft.1`�EA/150 sq.ft.ceiling area) /s Y = i � /1 �, 3 /
Spot exhaust fans: (4"exhaust-ba(h/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.)
Whole house exhaust fan:66) Cfm(Intermittent system manual&auto controls/sone less than or=to 1.5 a(.1 WG)
INSULATION
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 R4(Exhaust in unconditioned space&supply in conditioned space.)
Wall insulation(above grade) R- Q2-/ (Batts face stapled)
( ) ( ) Wall insulation(below grade-interior) R- (Batts face stapled)
( ) a) Vapor retarders on walls (Faced bats,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&1"airspace)
FINAL
( ) ) Floor insulation R- %5 6 —(Substantial contact w/surface,supports less than or=to 24"OC,not blocking vents.)
( ) (r ) Ventilation system is operational(spot,whole house,fresh air to all habitable rooms. If integrated system,certification by insulter is
required.)
( ) ( ) HVAC ducts in unconditioned areas R-8(Joints seated;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).
SHW heaters: (NAECA label,separate power or gas shut-off,on R-10 pad if electric in unconditioned or on concrete.)
( ) ) Heating system type: F I e_&Y I C— U�ZLI 1 WY 00 e)+'
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 coact.)
Ground cover: (6 mil black polyethylene or approved equal lapped 12"at joints,extending to foundation wall.)
Penetrations(All exterior wall ceiling penetrations sealed to drywall-plumbing,exposed beans,wall receptacles,fans,recessed lights.)
( ) -(--a) 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
GLAZING
Plan Reviewer-Fill out this glazing section or attach a window schedule to this checklist. lmpector- 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 Quanfi y Area S . Ft. U-Value Manufacturer Rev. Insp.
o U l Gv oJ,
O�O cy v �c
L16
Total glazing area:
Total conditioned area:
Percentage glazing. ( �� Verified:
DOORS
Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. 1pspector-
Verify door information during field inspection.
Date
Type/Quantity U-Value Manufacturer Rev. Insp.
60V c nl o G0oon/
pr Foam corms
Signature of Building Inspector: Date of Final Inspection:
MASON COUNTY BUILDING DEPARTMENT
1991 WASHINGTON STATE ENERGY CODE
AND
VENTILATION AND INDOOR AIR QUALITY CODE
OWNER K o b er ti`r k, t o s s TELEPHONE O o G 7.s-3 0"7S'
COMPLIANCE INFORMATION
TYPE OF PROJECT: O NEW RESIDENCE O ADDITION O REMODEL O OTHER
AREA(SQ.FT.) 1ST FLOOR 9'L/y 2ND FLOOR HEATED BASEMENT
Note: Heated basements must be insulated and finished to meet minimum energy code requirements.
TOTAL SQUARE FOOTAGE OF CONDITIONED (IiEATED) AREA �/y
COMPLIANCE METHOD:
( ) PRESCRIPTIVE PATH — circle option�II III IV V VI VII VIII
Glazing percentage I()°-7J (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
WATER HEATER
00 Electric water heater () Gas water heater
HEATING SYSTEM:
ELECTRIC RESISTANCE
() Electric Central Furna ectric Wall Heaters (4 Baseboard Units
() Radiant Panels () Othe
OTHER FUELS
( ) Heat Pump with electric furnace ( ) Heat pump with gas furnace ( ) Gas Furnace ( ) Oil Furnace
( ) Other ( ) Boiler System (indicate type)
Make Model
Size AFUE HSPF
VENTILATION SYSTEM:
PH
poand Whole House () Central Ducted System () Integrated with Furnaceeat t 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 _ U-VALUE QUANTITY SIZE TOTAL SQ. FT.
C N La
y 3� /
L4
TOTAL WINDOW AREA
DOORS
BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT.
TOTAL DOOR AREA
32' I {
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