HomeMy WebLinkAboutBLD94-1008 Cancelled SFR - BLD Permit / Conditions - 4/15/1995 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 9e584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback —) date 3`Z j— y6 by L Ribbons
date r 16'r Gas Piping date b
Foundation Walls date by Set Up
date b date b
Y INSULATION Y
BG/SLAB Insulation Floors Final
date by date 2�- `I� by date by
FRAMING Walls
FIRE DEPT.
date 3 Z I' `i� by date by date by
PLUMBING n,) ;:�,Pew ;�^ `� I I{ Attic OTHER
Groundwork C date 3- Z '�- by [
date 2-2 1 16 by WALLBOARD NAILING
D.W.V. l'(
date y-2/- f by t / date by
Water Line FINAL INSPECTION
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Mason County Bldg. III 426 W. Cedar
P"O, Box 186 Shelton, Washington 98584
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6
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 b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
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- -
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundc.13on 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
PLUMBING date by OTHER
Groundwork Attic
date by date by
WALLBOARD NAILING
D.W.V. d
date by ate by
Water Line FINAL INSPECTION
date by date by date by
PRINTED APRIL, 1992 / Editorial Revision April, 1994
g
RESEARCH REPORT NO. 90-16
B Q C A Category 27 ,• ,
BOCA EVALUATION SERVICES, INC.
4051 West Flossmoor Road • Country Club Hills, IL 60478-5795
TM Phone 708/799-2305 • Fax 708/799-1660
. :.
CATEGORY 27-MASONRY AND MORTAR - CONCRETE vertical 1 inch by 9 inch attachment strips spaced 12 inches
o.c. horizontally.
POLYSTEEL FORMS® AND FOAM FORMS CONCRETE 2.2 Structural Analysis and Design
WALL SYSTEM
Structural Analysis and Design of the concrete walls and
AMERICAN POLYSTEEL FORMS components is in accordance with Tables I-V and Figures
BERRENBERG ENTERPRISES,INC. 1-11 included in this report, or other alternative approval by
5150 F EDITH,N.E. the code official. See the item 4.2 of this report.
ALBUQUERQUE, NM 87107
The tables and details contained in this report include
retaining walls, above grade wall design, ledger beam
1.0 DESCRIPTION OF EVALUATION connections, and brick veneer ledge details.
This report evaluates PolySteel Forms®and Foam Forms as 2.3 Forms and Reinforcement Installation
a permanent formwork units for plain and reinforced Footings or slabs are poured as required on the approved
concrete. drawings. Reinforced walls shall have the required number
2.0 DESCRIPTION AND USE OF PRODUCT of ASTM A615 reinforcing bars installed as dowels across
the footing and wall interface.
2.1 General A snap line is used to mark the location of the outside face
of the forms on the top of the footing. 2X4 inch lumber
PolySteel Fortes® and Foam Forms are intended as guides are then nailed to both sides of the top of the footing
permanent modular formwork units for use in construction of to prevent the first course from moving. Door and window
plain and reinforced concrete walls and components, locations are also marked on the footing.
including: bearing interior or exterior walls, nonbearing
interior or exterior walls, shear walls, foundation walls, Comer braces are also constructed of lumber members and
retaining walls, and lintels. placed on both sides of the top of the footing.
Each unit (Figure 1) consists of two opposing faces of Forms are then stacked in running bond patter, with
molded, expanded polystyrene (EPS), creating a waffle vertical joints staggered, starting at corners. A 45 degree
shaped void to be filled with concrete and required miter cut is made on the corer units prior to stacking the
reinforcing steel (Figure 2). corers.
Each unit is 48 inches long, 16 inches tall, and weighs 4 to 5 Vertical reinforcing bars are centered in the vertical cores
pounds. The 6 inch nominal core form is 91/4 inches thick and secured against movement with 16 gage wire to the
overall(Figure 3). The 8 inch nominal core form is 11 inches vertical dowels. Horizontal reinforcement is centered in
thick overall (Figure 4). The edges of each EPS face have horizontal cores and secured against movement with 16
tongue and grooves for interlocking placement of units. gage wire to vertical reinforcement and. Lap splices are
provided in accordance with the code requirements for the
The opposing faces of EPS material are connected with size of reinforcement installed.
vertical 9 inch tall No. 18 gage expanded steel mesh sections.
In Foam Forms,bent flanges of the steel mesh are embedded Required locations for anchor bolts for intersecting walls
a minimum of 2 inches into the EPS thickness. In the and for ledger beams are marked and the required number,
Polysteel Forms® the flanges are bent at the outside face size and spacing of anchor bolts are installed through the
surface and are capped with galvanized steel resulting in EPS thickness prior to concrete placement.
Pkase contact BOCA Evaluation services,Inc.,with any questions you may have regarding this report.Additionally,please contact us if you have any infornwtion
►v) on the perfonnanee of the product described herein which is contrary to this report.Dris report is subject to the limitations listed herein and to the specific product,
data and test reports submitted by the application requesting thus report.Independent tests were not performed by BOCA Evaluation Services,Inc.,and BOCA Evaluation
Services,Inc.,specifically does not Hanle any warranty,either expressed or implied,as to wry findings or other mutter in this report or as to any product covered by
this report. Evaluation reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor as an endorsement or
recommendation for the use of the subject of the report. This disclaimer includes,but is not limited to,merchantability.
Copyright, 1992, BOCA Evaluation Services, Inc. Page 1 of 18
J
i
• Page 2 of 18
For installation of intersecting lumber walls and ledger
Permanent window frames, door frames, wall closures and beams at the face of the walls, the EPS material is routed
other openings are constructed of preservative treated lumber, out for placement of the members flush to the surface of the
and installed and securely braced against ms a call d wheial hardened concrete at the locations of the anchor bolts.
cut forms shall be cut to fit tightly. Bracing grooves have been roofin
special cuts occur and where tongues and g 2.4 Waterproofing and Dampp g
removed.
Walls required to be waterproofed or dampproofed are x
Intermediate vertical bracing members are installed on both sealed w th coatings compatible with EPS. Applied
sides of forms, and toe nailed to the guide at the base. The materials are required to be compatible with EPS and
interior vertical braces are a single 2 x 4 lumber member durable for this purpose. EPS is not compatible with
placed flat against the EPS face. Outside vertical braces are or anic solvents such as hydrocarbons, chlorinated
a 2 X 4 member placed flat against the EPS face with a 2 X 4 h drocarbons,ketones and esters.
member nailed perpendicularly to create a T-shape cross Y
section.Lumber kickers are then nailed to the vertical braces
Plastic roofing cements, acrylic coatings, latex coatings,
on the outside face. mortars and pargings are permitted to be used to seal the
to tie opposite vertical bracing members walls,subject to sample testing to ensure compatibility with
16 gage wire is used PP° es EPS.
together through the forms. Careful backfill A.on both movement
is also a method used to secure the forms against 2.6 Attachment of Interior Finishes and Exterior
prior to placing of concrete. Coverings
All forms Shall be adequately tied down to prevent floating of 2.6.1 General
the EPS units. Methods include any or all of the following:
using 12 gage wire hooks located internally and secured to Interior finishes and exterior coverings are permitted to be
tal and vertical rebar and dowels; screwing 2 X 4
installed accordance with code requirements, a valid
horizontal insta
the h 1 Steel
to the attachment strips (Po y as specifically stated m this report•
horizontal only),
r membersresearch report, or peC Y
Forms* only), and nailing these to the vertical bracing; 5
construction adhesive installed at all joints prior to stacking Approved adhesives are permitted to be used in conjunction
forms; securing vertical and horizontal reinforcement to the wi mechanical fastening. Applied adhesive materials are
wire mesh and to the dowels,with 16 gage wire. required to be compatible with EPS and durable for this
Bracing is inspected prior to pouring. Locations where the purpose. EPS is not compatible with organic solvents such
as hydrocarbons, chlorinated hydrocarbons, ketones and
forms are susceptible to rupture include: interior and exterior esters. r
corners;areas around doors and windows; forms which have
been specially cut;and locations of special cutouts for pipes, 2 6 2 PolYSteel Forms®
conduit and vents.
PolySteel Forms® are fabricated with vertically placed 1
2.4 Concrete Quality,Mixing, and Placing inch by 9 inch strips having a thicknesses of 30 gage
galvanized steel sandwiched around the 18 gage expanded
A concrete mix having an f c = 2'500 Psi minimum, a steel mesh. The strips are spaced 12 inches o.c.
maxirrnrm slump of 4 inches, and a maximum aggregate size horizontal)
of 3/8 inch is poured or pumped into the forms. Concrete is y
permitted to be pumped with a 2 inch maximum diameter No 6 X 1t/4 self tapping screws spaced 12 inches o.c. .
hose. Concrete placement begins at corners vertically and 12 inches o.c. horizontally maximum are ;
I permitted to be used to attach drywall.
pblySteel Forms®are assembled no more than six courses tall
(8 feet). Concrete is then placed at a maximum rate of 4 feet Approved fiberglass or steel lath is permitted to be attached
per hour vertically a minimum
ete is
70 degree temperature when
to the strips with No. 6 X 1 inch self tapping screws spat
ed
a 150 pcf or less concrete is specified. in accordance with code requirements for such attachment.
Foam Forms are assembled no more than three courses tall No. 6 self tapping sheet metal screws of the required
(4 feet). Concrete is then placed at a maximum rate of 2 feet length, spaced in accordance with code requirements for
per hour vertically in a ininimum 70 degree temperature when such attachment, are permitted to be used to attach furring
a 150 pcf or less concrete is specified. strips to the attachment strips.
Required construction joints are provided in accordance with 2.6.3 Foam Forms
Section 1505.4. -J
The top of the wall is screeded level and anchor bolts are Vertically arranged, galvanized, No. 26 gage steel Z-
anchor for the channels having v2 inch and 1 t/2 inch flanges and a 2 inch
installed in accordance with code requirementsweb are"field" connected to each concrete vertical core to
specific installation.
• Pape 3 of 18
provide for attachment of interior finish or exterior covering and calculations are signed and sealed by J.L.
materials. The EPS thickness is routed out to provide for Berrenberg, P.E., State of Texas.
® flush placement of the 1/2 inch leg directly on the thickest
portion of the vertical concrete core. Fasteners are permitted 2. Structural engineering details and calculations dated
to be 11/4 inch long by 3/16 inch diameter high strength steel April 30, 1991, signed and sealed by Jeffery
bolts. Needham, PE, SE, of Needham Associates, Fort
Wayne, Indiana, in support of use of the 8-inch form
1 1/2 inch wide, No. 24 gage steel strips are permitted to be walls in a generic configuration of a two story above
secured to the walls with 16 penny box nails, installed prior grade plus full basement residential building.
to placement of concrete. Nails are first driven through the
strips and then through the 11/2 inch(thinnest)portions of the 3. Structural engineering details and calculations titled
EPS.Friction washers are installed to prevent withdrawal of "Calculations for Strength of Brick Ledge", signed
the nails until the concrete has set. Wood furring strips are and sealed by J.L. Berrenberg, P.E., State of Texas.
similarly attached with nails of the required length.
4. Structural engineering details and calculations titled
Attachment of drywall to the Z-channels or steel strips is "Calculations for Earthquake Forces", signed and
permitted to be with 11/4 inch long bugle-head self tapping sealed by J.L. Berrenberg, P.E., State of Texas.
screws.Spacing of the screws is 12 inches o.c. vertically and
16 inches o.c. horizontally maximum. 5. Structural engineering details and calculations titled
"Calculations for wind loads", signed and sealed by
For plastering of the wall, No. 16 gage galvanized steel wire J.L. Berrenberg, P.E. State of Texas.
is permitted to be looped through the 11/2 inch thickness of
the EPS at 12 inches o.a horizontally, and 6 inches o.c. 6. Structural engineering details and calculations titled
vertically, prior to placement of concrete. The wires shall be "Foam Form Monolithic Footing Detail", signed and
looped inside the form to provide positive anchorage in the sealed by August F. Mosleann, P.E., State of New
concrete. Approved lath is then wired to the wall prior to Mexico.
plastering in accordance with code requirements.
7. Manufacturer's instructions titled "User's Manual for
PolySteel FormTM (U.S. Pat. No. 4,879,855) and
3.0 CODE ANALYSIS OF SUBMITTED INFORMATION Foam Forms", dated January, 1991, issued by the
O proponent.
The following data was submitted by the proponent for
demonstration of compliance with the respective code sections CODE SECTION: 2002.3 Surface burning char-
listed above each item of information. The basis is the 1990 acteristics. This section requires foam plastics to have a
BOCA National Building Code with the 1992 Supplement. flame spread rating of not more than 75 and a smoke
developed rating of not more than 450 when tested in
CODE SECTION: 107.4 Alternative materials and accordance with ASTM E84 in the maximum thickness
equipment; 111.7 Engineering details; Article 11 intended for use.
Structural Loads; Article 12 Foundation Systems and
Retaining Walls; 1301.2 Research and Investigation; INFORMATION SUBMITTED:Five reports prepared by
Article 15 Concrete. Underwriters Laboratories give the results of molded and
cut boards of EPS tested in accordance with ASTM E84.
These sections require that sufficient technical information be For each report, the material tested resulted in a flame
submitted for proposed methods of reinforced concrete spread rating of 25 or less, and a smoke developed rating
construction which are not in accordance with specific of 450 or less.
requirements of the code and required standards. Proposed
alternative methods of reinforced concrete construction shall
be demonstrated as being in accordance with accepted Max.
engineering practice and at least equivalent to that prescribed Max. Thick-
in the code in quality, strength, durability and safety. Bead Density ness
Report 8 Manufacturer Types (PLF) (in.)
Adequate engineering details are required to be submitted. 77NK6955 ARCO M-77 2.0 5.0
Where such details involve the practice of professional 85NK20258
engineering the submitted information shall be signed and 78NK3819 BASF BF 122, 2.0 6.0
sealed by the responsible professional engineer in accordance 87NK1579 BF 321,
with state laws. BF 322,
BF 326,
[ INFORMATION SUBMITTED: BF 422
86RT3011 Huntsman 254,454, 1.75 6.0
R'rr 1. Manual titled "Structural Calculations for PolySteel 554
hem
Form® (U.S. Pat. No. 4,879,855) and Foam Forms" Coorp. 754, 900
dated November 1990. Structural engineering details
Page 4 of 18
CODE SECTION: 2002.2 Labeling; 1307.3 Labeling. MATION" section of this report. This report is limited to
These sections require that foam plastics be labeled by an the applications and products as stated herein. This
approved agency to substantiate required fire performance evaluation is based solely upon information provided to the
l
characteristics. BOCA Evaluation Services, Inc, by American Polysteel
Forms Benenberg Enterprises, Inc. and has not been
CODE SECTION:1308.2 Inspection of Fabricators. This independently verified by BOCA-ES. BOCA-ES intends that
section requires special inspection of prefabricated structural the report be used by the code official to determine that
assemblies. Special inspection is not required where an PolySteel Forms®and Foam Forms are in compliance with
agreement is maintained with an approved agency to conduct the code when installed in accordance with the following
periodic plant inspections and assure conformance an ap- limitations:
proved quality control program.
LIMITATIONS:
INFORMATION SUBMITTED: Quality Control Manual
OPL No. 8503-1, titled "Quality Control Manual for Foam
Form and PolySteel Form®6 inch and 8 inch core Units", 1. The application for permit shall be accompanied by
and agreement, prepared by Omega Point Laboratories for engineering design calculations, construction docu-
Berrenberg Enterprises, Inc., dated March 21, 1990. ments, and adequate engineering details. Such calcu-
lations, details, and construction documents shall be
CODE SECTION: 2002.9 Diversified tests. This section signed and sealed by the responsible registered design
states that foam plastics need not comply with thermal professional.
barrier and prescriptive installation requirements when
specifically approved based upon diversified tests.
2. Material requirements for each permit are in
INFORMATION SUBMITTED:Crawl Space Evaluations, accordance with code requirements specific to that
August 20, 1984, Project No. 01-7788-205, by Southwest installation unless limited or modified by this report.
Research Institute for BASF Wyandotte Corp., Parsippany,
New Jersey. a. Structural Analysis and Design(Tables):
The report examines fire performance characteristics of two The use of Tables IN and Figures 141 included in
insulated crawl wall configurations. In summary, insulation this report is permitted as a basis for structural
was applied to the crawl space side and a wood crib was design provided the loads, assumptions and
placed in the corner and ignited. The time of ignition of the configuration indicated therein apply to the specific
exposed plywood subfloor above the floor joists was greater installation.
for the exposed EPS installation than for the exposed
fiberglass installation. The results were as follows: b. Structural analysis and Design(other):
TIME OF IGNITION OF PLYWOOD Concrete design not addressed by Tables I-V and
INSULATION TYPE SUBFLOOR ABOVE CRAWL SPACE Figures 1-11 (including plain concrete design) is
EPS (31 17 minutes, 2 seconds subject to alternative approval by the code official
and is not within the scope of this report See item
Fiberglass 2 minutes,46 seconds A of the "CODE ANALYSIS OF SUBMITTED
(R-11,Kraft faced) INFORMATION" section of this report for
approval basis. All such uses require engineering
CODE SECTION: 3101.1 General. This section requires details signed and sealed by the responsible
that necessary computations be submitted to indicate professional.
compliance with required energy conservation measures, j
including R-values of the exterior envelope. c. Foundation walls or footings shall extend to or
below the frost line of the locality.
INFORMATION SUBMITTED: See Table VI included in
this report for R-value calculations. This information is d. Anchorage dowels are required across the interface
presented in the Manufacturer's instructions titled "User's of all reinforced concrete walls and footings. The
Manual for PolySteel FormTM (U.S. Pat. No. 4,879,855) and size, spacing, and grade of the dowels is the same
Foam Forms", dated January, 1991, issued by the propo- as required for vertical reinforcing bars.
nent.
e. Required vertical and horizontal reinforcement shall
be centered in cores.
4.0 INSTRUCTIONS TO THE CODE OFFICIAL
f. Maximum size course aggregate shall be 3/8 inch.
PolySteel Forms®and Foam Forms have been evaluated for
conformance with the sections of the 1990 Edition of the g. Maximum slump permitted is 4 inches.
BOCA National Codes with the 1992 Supplement as listed
in the "CODE ANALYSIS OF SUBMITTED INFOR- h. Form bracing and tie down during construction:
Page 5 of 18
The extent of required bracing and other measures 4. Firestopping shall be provided in accordance with
for installation of the formwork necessary to Section 921.0. The EPS material thickness shall not
provide for public health and safety are dependent vitiate required firestopp►ng.
upon evaluation of each installation. The use of the
methods given in this report, and the methods and 5. The EPS shall be separated from the interior of the
quantity of bracing and other measures given in the building by a thermal barrier of i/2-inch gypsum board
manufacturer's users manual referenced in item B or equivalent approved material, attached in an
of the "CODE ANALYSIS OF EVIDENCE approved manner, in accordance with Section 2002.4.
SUBMITTED" section of this report are permitted
provided they meet the following minimum On the interior side of crawl spaces the EPS material
required performance criteria: does not require a thermal barrier to separate it from
Forms are installed such that the final structure the interior when all of the following conditions exist:
conforms to the shapes, lines and dimensions of the a. Entry is made only for service of utilities;
members as required on the approved drawings.
The forms shall be sufficiently tight to prevent the b. there are no interconnected spaces intended for
leakage of mortar, and properly braced and tied
together to maintain position and shape, prevent human occupancy;
floating, and prevent rupture of the forms. c. the air in the crawl space or attic is not circulated
i. Concrete placement: to other parts of the building; and,
PolySteel Forms®are assembled no more than six d. additional thicknesses of foamed plastic are not
courses tall (8 feet). Concrete is then placed at a
installed over the exposed forms.
maximum rate of 4 feet per hour vertically in a
minimum 70 degree temperature when a maximum 6. Use of concrete walls, constructed in accordance with
150 pcf concrete is specified. this report, as structurally independent fire walls and
party walls meeting the requirements of Section 907.0,
Foam Forms are assembled no more than three or as fire separation assemblies is not within the scope
courses tall (4 feet). Concrete is then placed at a of this report.
maximum rate of 2 feet per hour vertically in a
minimum 70 degree temperature when a maximum 7. Due to the soft EPS faces and bridges,the use of power
150 pcf concrete is specified. actuated fasteners can result in injury or death if
sufficient precautions are not provided against
j. All concrete shall be thoroughly consolidated by a accidents.
suitable means.
8. Walls exposed to the exterior are required to be faced
k. For both reinforced and plain concrete walls a with a durable, weather-resistant covering in
minimum of 245, grade 40, ASTM A615 accordance with code requirements or a specific
deformed bars shall be placed and extend around all research report.
door and window openings past comers for the
development length of the bar,but not less than 24 9. All units shall be protected from prolonged exposure to
inches. the suns rays. Yellow and dusty surface oxidation on
the EPS (resulting from sun exposure) shall be
1. Required construction joints are provided in removed by brushing thorougly prior to application of
accordance with Section 1505.4. adhesives, waterproofing, and dampproofmg materials.
in. First floor framing or bracing shall be in place 10. Waterproofing,dampproofing and adhesive materials:
_ prior to bacicfilling of retaining walls.
a. Applied materials are required to be compatible
n. All wood sill plates, door, window and opening, with EPS and durable for this purpose. EPS is riot
frames shall be preservative treated. compatible with organic solvents such as
hydrocarbons, chlorinated hydrocarbons, ketones
o. Special inspection is required to be provided for all and esters.
installations, in accordance with Sections 1308.8
and 1308.4, including materials, installation of b. Cold setting asphalts shall conform to ASTM D449
reinforcing steel, formwork installation and Type C. Hot setting asphalts are not permitted.
bracing, and concreting operations.
c. Use of coal tar pitch and emulsions is not
3. Use of the forms is limited to Type 5 construction permitted.
when the forms are used for exterior walls except when
an exterior covering of a minimum of 1 inch thickness d. Hot applications of materials shall not be in excess
of solid masonry is provided. of 200 degrees.
1
Page 6 of 18
e. All proposed materials are subject to sample testing
and specific approval by the code official.
11. R-values assigned to walls constructed in accordance
with this report are limited to those given in Table VI.
12. STC class ratings are not within the scope of this
report.
13. Each pallet of PolySteel Form®and Foam Form units '
shall be labelled with the authorized listing mark of the
third party inspection agency, Omega Point
Laboratories (see NER-QA337). The label shall give
the product's identification, and fire performance
characteristics (flame spread and smoke developed
rating).
14. This report is subject to annual certification. Reports
that are not certified shall not be used or referred:o. In
order to determine the status of certification of this
report, see the current BOCA Evaluation Services, Inc.
National Product Evaluation Quarterly.
5.0 IDENTIFICATION
All pallets of PolySteel Forms® or Foam Forms
manufactured in accordance with this research report shall
be marked at the plant with the identifying language, "See
BOCA Evaluation Services, Inc., Research Report No.
90-16."
Reference to this research report is limited to the
identification as descnbed herein. Any other reference to this
report or the BOCA logo is prohibited.
j
I,
I�
- ® II
Page 7 of 18
THE POLYSTEEL FORM rm
,2
N�
� G
I
is
S��\eS
(9'
c�9
Figure 1 '
r3F
122 14CHM OMWICAL ..W
C
a //I
is►KM or_
'I SKETCH SNOWING CONCRETE COLUMN ANO BEAM IN THE 8-INCH FORM
v
Figure 2'
Note: Steel reinforcement is centered in the
ivertical columns and horizontal beams
as shown.
i
Pope 8 of 18
F
I
I
1
I
6' FORM DETAIL
2 8 1 4 8 4 8 4 1 8 2
A B
I
I
I
�1/4 + + + +
TOP VIEW
A B
6-3/8
1/2 TYP 48
2-1/2
I
4
I
16 I '
i 2
I
END VIEW 1 11 12 12 11 1
SECTION SECTION B-B
ALL DIMENSIONS IN INCHES
TYP STEEL
BOTTOM VIEW
Figure 3'
Note: This figure shows the 6" Foam Form. For the 6" PolySteel Forma the expanded steel extends
to the outer surfaces and the 1 inch x 9 inch galvanized steel attachment strips are added as
shown in Figure 1.
Page 9 of 18
8' FORM DETAIL
21 8 14 1 8 4 8 4 8 121
A B
11 + + + +
TOP VIEW
A B
48 8
1/2 TYP
2-1/2 4
16
2
-- -- - - - - - - -- - - - — - -3 7-1/2 +I R—
END VIEW 7-7/8 2
11 12 12 11 1 SECTION A-A SECTION B-B
+ + + + ALL DIMENSIONS IN INCHES
TYP STEEL
BOTTOM VIEW
Figure 4'
Note: This figure shows the 8" Foam Form. For the 8" PolySteel® the expanded steel expanded
steel extends to the outer surfaces and the 1 inch x 9 inch galvanized steel attachment strips
are added as shown in Figure 1 .
Page 10 of 18_
ONE-STORY WALL SECTION TWO-STORY SECTION
8"POLYSTEEL FORMS" TYPICAL ROOF ATTACHMENT
FILL WITH 2,500 PSI CONCRETE (ANCHOR BOLT, PLATE, & RAFTER TIES)
6
J L
l r
SEE TABLES r 8" FORM
FOR REBAR
2,500 PSI CONCRETE
f'
1/2' GYPBOARD
EXTERIOR
COVERING r'
II
112' GYPBOARD
I 1
J � Jl � JO�
r,
II
' ANCHOR BOLTS, LEDGER,
I 1 J l
1 I & APPROVED JOIST HANGERS
EXTERIOR ' i r" (SEE DETAIL)
COVERING
I I
J t
BEL / L SEE TABLES FOR
GRADE REBAR REQ'D
FOOTING AS REQ'D
FOOTING AS REQ'D
1
I
I I
J L.
Ir
1
, I
� r
•ALTERNATE 6' ON 8' FORMS
Figure 5' Figure 6"
Notes:
1. Footings shall be installed as required by the Code and installed at the required frost depth.
2. Concrete slab and vapor barier shall be installed as required by the Code.
3. Foundation drainage shall be installed as required by the Code.
4. Fire stopping shall be installed as required by the Code.
Page 11 of 18
FOAM FORM STEM WALL & SLAB
wood DRAKE COW.
C CONCRETE Im
ANCHOR PER CODE
a. C N CORM
0
Z,500 P!CO1R.EQ'D
FOAM FORM 1
2.14 CONTN .
_ 1
FOOTING AS
IALTEeRNATE O"
Figure 7•
Notes: 1. Footings shall be designed as required by Code and installed at the required frost depth.
2. Concrete slab and vapor barrier shall be installed as required by Code.
3. Place #4 Grade 40 reinforcement, horizontally every 4 feet on center whenever the foundation
walls are 4 feet high or greater.
STEM WALL & CRAWL SPACE
MULAZION WOOD FRAME CONST.
Ftooa ANCHOR PER CODE
x�STl LOCATE N CORES
2 x 6 PLATE
2600 PS CONCRETE
244 COPRM10U6 6.FORM! 7
FOOTING AS REC'D
4 e 2C O.C.
ALTERNATE BENDS
Figure 8'
Notes: 1. Footings shall be installed as required by Code and placed to the required frost depth.
2. A vapor barrier shall be installed as required by Code.
3. Foundation drainage shall be installed as required by Code.
4. Place one #4 horizontal reinforcing bar in the top of the foundation wall.
Pegs 12 of 18
FLOOR LEDGER DETAILS
ALTERNATE a
YM MAR PM REBAR TAKES
WCARD1OW REBAR
RAOR
JOIST HAFK3ER ATTACHED
TO LEDGER
12 TRI AM WOOD LEDGER
KW FORMS EP8 AND BOLT19CW TO CONCRETE
•ANCHOR BOLT REQUIREMENTS
MAMMUMSPAN IN� 163 n1 ».6 21A 216 2L6
i 1Ia•oc u• swr Orr 7,r r 1-ur
ALTERNATE 6:
8' FORM BELOW/6' FORM ABOVE
1
� � cnNnrri sae
� f
64 ANCHOR KU
•4 Fr.O.C.
ALTERNATE C:
FIRE CUT JOIST DETAIL
MT now Al No"van
CONCRM
POEM PCMd
1 ( *A R.00R
1 I
I II
x 11
wai w wow R.=JOW
i
M HOW NSArt
•MNLAM KAF&Q
Figure 9'
Notes: 1 . Fire stopping shall be installed as required by the Code.
2. EPS behind ledger shall be removed so that ledger contacts concrete.
3. The eccentricity of the load resulting from the floor ledger system shall not exceed 5
inches from the center of the 6" Form.
4. Ledger anchor bolts shall be located in the vertical concrete posts or horizontal beams.
I
Page 13 of 19
BRICK VENEER
AIR SPACE
BRICK VENEER INSTALLED
AS REQUIRED BY THE CODE.
J
CORRUGATED METAL TIES
AS REQUIRED BY THE CODE.
\r
6~ FORM i I
I FLASHING AS REQUIRED
BY THE CODE.
WEEPHOLES 0 48. O.C.
\
*3 RESAR HOOKS
16" O.C.
8� FORM
� I
4 HORIZ. REBAR
i I
I I
Figure 10'
Note: Construct brick ledge and install brick veneer according to the building code.
Maximum veneer height = 25 feet
f'c = 2,500 psi
Veneer weight = 130 pcf
The eccentricity of the load resulting from the brick ledge shall not exceed 6.5 inches from
the center of the lower 8" Form wall.
Page 14 of 18
I
LINTEL STIRRUPS
03 STIRRUPS W 03 STIRRUPS
#5 REBAR #5 REBAR
I �
CL
6'
METHOD A METHOD B
Two stirrups are fabricated Erom 03 rebar.4 40.000 psi.and i st&W is eacb wrt-1 core
(12'O.C.)across the ensue length of the lintcl u shown in either Method A or Method B above.
Stirrup ends mutt be booked sround the♦5 bonzonul mbar with at lust a 135-de`ree bend.
Figure 11
*THE DRAWINGS CONTAINED WITHIN THIS REPORT ARE FOR ILLUSTRATION PURPOSES ONLY.THEY ARE NOT INTENDED
FOR USE AS CONSTRUCTION DOCUMENTS FOR THE PURPOSE OF FABRICATION OR ERECTION.
Page 15 of 18 .
RENFORCEMENT FOR WALLS
TABLE I
lDQWV REDaK RC8�;RBQUM.EKDrIS FOR 6-INCH FORS[BUILDINGS
For 14tory(or Top Story of 2Star7)Btuldiap
SEMW WIND $-FT WAILS 10-Fr WAILS
DONIES ST!!fflyS
0.1,2 80MPH V-#4424.O.0 V-#4@1r0.0
H-#4(a4rO.0 H-#4Cg49'O.0
100MPH V-#4(9irO.0 V-#S@IrO.0
H-#4(948'O.0 H-#4 4rO.0
3,4 80MPH V-#3Q1rO.C. V-#4 lrO.0
H-03@16'O.0 H-#3®16'O.0
100MPH v-104a1rO.0 V-*5@Ir0.0
H-#3®16'O.0 H-#3(9 16'O.0
For Bottom Story of 2-Story Bui mp
SE[Sbac WIND S-Fr WAILS 10-Fr WALLS
DOMES STEELS
0.1.2 80MPH V-04(iP1rO.C. v-#5a1z'o.0
H-#4@4SO.0 H-#4(ip48 O.C.
100MPH v-#5QITO.0 v-*5Q1rO.C.
H-#4448'O.0 H-#4(a4rO.0
3,4 80MPH V-#4@12'O.0 V-#5@1rO.0
H-#3 @ 16'O.C. H-#3 @ 16'O.C.
100)OH V-#3®1rO.0 V-#S®1rO.C.
H-#3 @ 16'O.C. H-#3®16'O.0
Notes V-Vertirs Reinforoemeat
H-HorizonW Reudwocmcat
Table assumes vind Exposure C defined in BOCA Section 1112.3.3
See Tables III and IV for Basement Rebar Requirements
I
s
' Assumptions:
i
The following reinforcement tables (Tables I through V) are
permitted to be used under the following conditions:
1. Maximum roof dead load is 15 psf.
2. Maximum roof live load is 20 psf(horizontal projection).
3. Maximum floor dead load is 15 psf.
4. Maximum floor live load is 40 psf.
5. Maximum distance between bearing walls is 24 feet.
6. Maximum unsupported wall height is 10 feet.
7. Minimum concrete compressive strength is 2500 psi.
8. Minimum type and strength of steel reinforcement is 40,000
psi, ASTM A615 deformed bars.
9. Reinforcement shall be installed as required by the Code.
10. Shear walls shall be designed and installed in accordance ,
with code requirements to transfer required lateral loads.
11. Wind and seismic loads are as limited by the Tables.
I
Page 16 of 18-
TABLE Il
MINI"REDU OACEIdEN7 AEQULAEMEN'I8 FOR s-INCS ROAM B=VfGa
For 1 Story(or Top Story of 2-Story)Buadinp �
SEMac WIND 5-Fr WAIL! 10•Fr WAILS
ZONE1 SPEEDS
0,1,2 80MPH V-I4@24'O.C. V-04@24'O.0
H-04048'O.0 H-#t4@48'O.0
100MPH V-n4@24'O.0 V-*4@12'O.0
H-04@48'O.0 H-M4@48'O.0
3,4 80MPH V-03@12'O.0 V-03@12'O.0
H -#t3@16'O.0 H-*3@16'O.0
100MPH V-I3@12'O.0 V-r4@12'O.0 I
H-#t3416'O.0 H-#3@16'O.0 j
For Bottom Story of 2-Story Buddiap
SELLQC Win 8-Fr WALLS 10-Fr wALLs
ZONE3 SPEEDS
0,1,2 80MPH V-#5@24.O.0 V-M4@12'O.0
H -N4@48'O.C. H-P4@48'O.0
IOOMPH V-i4@12'O.0 V-#4@12'O.0
H-•4 @ 48'O.C. H-#t4 @ 48'O.C.
3,4 80MPH V-I4@12'O.0 V-I4@12'O.0
H-*3@16'O.0 H-*3@16'O.0
100M9H V-#4@12'O.0 V-I4@1Z'O.0
H-#3@16'O.0 H-03@16'O.0
Note: V-Vertical Reinforcement
H-Horizontal Reinforcement
Table assumes vind Exposure C defined in BOCA Section 1112.3.3
See Tables III and IV for Basement Rebar Requirements ?
REINFORCEMENT FOR BASEMENT WALLS
TABLE III
VERTICAL BAR REINFORCEMENT FOR BASEMENTS IN SEISMIC ZONES 0,1,2
Eancer OP&4=71 L. 64NC E POAJ&S 84II4CE FORM
5 It or km #4 @ 24'O.0 #t4 @ 24.O.0
55i ft R5 @ 24'O.0 M4 @ 24.O.0
6 ft s4@12'O.0 #5@24'O.0
61ift 04@12'O.0 #t5@24'O.0
7 ft N5@12'O.0 #5'@24.O.0
715ft r5@12'O.0 ♦4412'O.0
8 ft 05@12'O.0 #t4@12'O.0
8hft N5@12'O.0
9 ft #5 @ 12.O.0
954ft #r5@12'O.0
10 It 2-#4 @ 12'O.0
HORIZONTAL REINFORCEMENT: Place #4 bars horizontally every 4 feet
(every 3rd course).
Note:
1. These mbar requirements assume a retained earth weight equivalent to a fluid
weighing 30 Ibs/ft'.
2. These reinforcement requirements are based on 40,000 psi deformed steel reber
and 2,500 psi concrete.
3. The reinforcement shall be placed in the center of the wall.
4. Backfill shall be well drained.
5. The basement floor shall be poured and the first floor in place prior to backfilling.
6. See the figures in this report for additional details.
7. For 2-story plus basement,the 8-inch Forms are required for basement walls.
r Page 17 of 18
TABLE IV
VERTICAL BAR REINFORCEMENT FOR BASEMENTS IN SEISMIC ZONES 3&4
B3309r OF awCXPus. 64NCH FORM a1NCH FOR10
5 ft or km #3 11 12-O.0 *3 @ it O.0
514ft 04@trO.0 *3@12'O.0
6 ft #4@IrO.0 #3@1rO.0
614 ft 04 @ 12-O.0 #3 @ 12'O.0
7 ft #5 @ lr O.0 #4 @ 1r O.0
7%ft #5 @ lr O.0 #4 @ 12-O.0
8 ft #5 @ lr O.0 #4 @ lr O.0
8%ft #5@IrO.0
9 ft #5 @ 12-O.0
9%It #5 @ 12-O.0
10ft 244@1rO.0
HORIZONTAL REINFORCEMENT: Place x3 bars horizontally every 16 inches(every
course).
Notes:
1. These rebar requirements assume a retained earth weight equivalent to a fluid
weighing 30 lbs./ft'.
2. These reinforcement requirements are based on 40,000 psi deformed steel rebar
and 2,500 psi concrete.
3. The reinforcement shall be placed in the center of the wall.
4. Backfill shall be well drained.
5. The basement floor must be poured and the first floor in place prior to backfilling.
6. See the figures in this report for additional details.
7. For 2-story plus basement,the 8-inch Forms are required for the basement walls.
REINFORCEMENT FOR LINTELS
TABLE V
MINIMUM REBAR REQUMDAEM POR 6-INCH do 8-INCH 1 T*r'n'r S
LOAD LINTEL.SPAN(FEE-1)
'L^PER
Fr OF 1-5 2 3 4 5 6 7 8 10 12 14 16
100lb #5 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5
200 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5
300 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5
400 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5
500 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5
1000 #5 #5 #5 #5 #5 #5 #5 #5 #5 #5 2-#5 2.5#
1500 #5 #5 #5 #5 #5 #5 #5 #5 2-#5 2-#5
2000 #5 #5 #5 #5 #5 #5 #5 #5 2-#5
2500 #5 #5 #5 #5 #5 #5 #5 2-#5 j
3000 #5 #5 #5 #5 #5 #5 #S 4 ! 4
e
3500 #5 #5 #5 #5 #5 #5
4000 #5 #5 #5 #5 #5
Note:
1. "U" is the factored load.
2. Center the required horizontal rebar(as shown in the above table)in both the bottom and the
top horizontal cores of the Form lintel.
3. This table is based on f, = 40,000 psi and f'c = 2,500 psi.
4. This table is for lintels with a minimum height of one complete Form unit (16 inches).
5. Lintel/Load combinations which are on the right of the heavy solid line require shear
reinforcement.Stirrups fabricated from x3 rebar and spaced at 6-inch on center over the entire
lintel span must be used in addition to the horizontal reinforcing shown in the above table.
6. See Figure 11 for typical lintel stirrup details.
1
• 7
Date Checklist Prepared 9— q V
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE
Permit Number 941-/CO3 Address PIE aC M&Ke% k6` Sq. Ft. 9�
Name on Permit Contractor/Phone# 8 � -ate
Compliance Method: ) Prescriptive J(Option) ( ) Component ( ) Systems Analysis
Date FOUNDATION
Insp. Rev. Bc"Tvfn O f S fiA t t7P�
Slab:R- 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.NFA/150 sq.ft.floor area-cross vented)
FRAMING
( ) t-4) '�-) Standara Mt101. Tq�,bihx -
C � ( ) Intermediate ( �per
�pb�,�� il'Yle,2tJ
( ) ) Woodstoves and/or fireplaces: (6 sq.inches combustion air supply dud firebox.)
Standard air seal: (Bouom plate/subfloor,rim joist/mudsill,window/door frames,penetrations condition to non-condition.)
Attic ventilation(I sq.ft [EA/150 sq.ft.ceiling area) Fr-Y p 1p,•VI S -COV)f�t 1000 S ✓ld9 �.0Yl h'riuo Zs
Spot exhaust fans: (4"exhaust-bath/laundry 50 din @.25 WG;kitchen 100 cfm 0 25 WG. Vented out with da ) So
Fresh air ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.)
( ) 4) Whole house exhaust fan: cfm(Intermittent system manual&auto controls/sone less than or=to 1.5 at.1 WG)
INSULATION
O �) Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6"
above bast insulation)
( ) ) Mechanical ventilation ducts R-4(Exhaust in unconditioned space do supply in conditioned space.)
Wall insulation(above grade) R- q s race stapled}�C E •E5 iDa r
( ) ( ) Wall insulation(below grade-interior) R- (Batts face stapled) + !a 67L1 P boeWd=
Vapor retarders on Walls(Faced bast,or 4 mil poly or perm.paint.-circle one) U a O-/C/;q
Rim joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly.) —/q 1.4+l � V
Vaulted ceiling insulation R- (Vapor retarder dt 1"air apace) �•C •E-�G k pK J
FINAL
Floor insulation R- (Substantial contact w/surface,supports less than or=to 24"OC,not blocking vents.)
Ventilation system is operational(spot,whole house,fresh air to Al 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.)
( ) "(,r) 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: 14ea t IF Tra-n e /a //D AlTE • 51 me h
Radon monitor on site with instructions.No. - Supplied by MCBD 15
Thermostat: (Heat range 55-75;AC 70-85;both 55-85. Backup heat controls(lockout)prevent simultaneous operation of primary system.)
( ) r) 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.)
( ) (V) 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.
Qg
$� E9) an VT
ao -arce �4 x / ;� W " S'
7x �
7� / e Ile ; Vi
• GLAZING
Plan Reviewer-Fill out this glazing section or attach a window schedule to this checklist. Impgau- Verify window
information during field inspections. Include skylights,glass doors and all other glazing on this form. Use rough opening
area for calculations.
lope ht)o - 9 Date
Size Quantity Area S . Ft. U-Value Manufacturer Rev. Insp.
+ A L,t e. - 6 JAll'P1
1,5
0 20 /
-4-30 I /a
v 4/0
-040
D i0 S6-7 I /
O d /
,2nd ' 030
D
U
0 go 1 / O
0150
VO �,5 ky A 4 14K:
( Total glazing area:
Total conditioned area: 7 / v
Percentage glazing. 14, 9
/. 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.
door- 4o 11-%C-/D C'.o,e,&
V"I L-/ T6 Loo /A-_,k)4-.,9 7—c,0
Signature of Building Inspector: Date of Final Inspection:
. T
Page No. 1 CASE HISTORY FOR CASE NO.: BLD94-1008
SHANE NORIHUP 0
NE20 MAKELA RD BELFAIR
11/29/94
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BLDA010 Application received / / / / 07/08/94 07/08/94 KW
BLDA100 Approved For Issuance / / / / 10/13/94 DONE KS 10/13/94 KS
BLDA500 (F) Issue building permit / / / / 10/17/94 DONE CPH 10/17/94 KS
BLDB110 Structural Plan Review 07/28/94 / / 09/16/94 DONE DPB 09/16/94 DPB
BLDB120 WSEC Compliance Review 08/18/94 / / 08/29/94 Check on hold by envyro.health.return to DONE DC 08/29/94 DLC
structural.
BLDB130 Planning Review 07/18/94 / / 07/28/94 DONE MMS 07/28/94 MMS
BLDB134 RLC Checklist Review / / / / 07/22/94 DONE AHB O7/26/94 TMJ
BLDB135 Addressing / / / / 07/19/94 DONE GMM 07/19/94 GMM
BLDB200 Environmental Health Review 07/08/94 / / 07/11/94 Plot plan shows appropriate reserve HOLD HLS 09/16/94 DPB
area. Needs septic design, and
appropriate payment.
BLDB200 Environmental Health Review 08/22/94 / / 08/24/94 Need approved septic design and HOLD HLS 09/16/94 DPB
designated reserve area, send letter
BLDB200 Environmental Health Review 08/29/94 / / 09/01/94 Still need approved septic design HOLD HLS 09/16/94 DPB
BLDS200 Environmental Health Review 10/13/94 / / 10/13/94 Approved septic design DONE HLS 10/13/94 HLS
BLDB210 Water Adequacy 07/11/94 / / 07/11/94 DONE HLS 07/18/94 CAJ
Owner provided drillers reports on other
wells in the area, intent to
drill on the platt, and the cost
estimates.
BLDC110 Footing inspection 10/17/94 10/18/94 10/18/94 EXTERIOR FOOTING ONLY. PASS LW 11/29/94 LAW
BLDC115 Foundation wall inspection 11/22/94 11/23/94 11/23/94 BASEMENT WALL INSPECTION: PEND LW 11/29/94 LAW
THE BASEMENT WALLS AND THE FUTURE 1st
AND 2nd FLOOR WALLS SYSTEMS ARE TO BE
CONSTRUCTED WITH A PRODUCT CALLED ICE
BLOCKS. THE OWNER IS ALSO THE
CONTRACTOR, THE OWNER SUPPLIED ME WITH
THE ICBO REPORTS THAT SHOW HOW THE
PRODUCT IS TO BE INSTALLED. THE
INFORMATION PROVIDED DOES NOT SHOW IF
THIS MATERIAL CAN BE ERECTED TO A HEIGHT
OF 30 FEET WITH 2 INTERIOR FLOOR SYSTEMS
OR NOT. I REQUESTED THAT THE OWNER
EITHER SUPPLY ME WITH NEW PRODUCT
INFORMATION THAT SHOWS THIS CAN BE DONE
OR PROVIDE ENGINEERING ON THIS PROJECT.
THE OWNER WAS TOLD IT WAS OK TO POUR AT
HIS OWN RISK AND PROVIDE THE INFORMATION
AT THE NEXT INSPECTION.
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
�Y//
#1 Own ` Phone# Z_��5- 2 Z) Dc
ite Address 9 e K. i e-d • Fire District#
City —ill IZ St _Zip a
Direction to Job Site
U)c n u cz� a on r
CAI n -
Owner Mailing Address �Z `�, i4cI c4
city `C-41 St WCA Zip" -x
Lien/Title Holder
Address
City St Zip
#2 Contractor Name r bA—d Aiz Contractor Reg #
Address Expiration Date
City St Zip Phone#
#3 If septic is located on prpject site, include records. /
Connect to Septic. 7 Public Water Supply Well
Connect to Sewer System? Name of System I -FNJeA n _ � (�_ ,h
(If residential, proof of potable water is required)
#4 cel No l Le . - - q a 64'�
gal Description :E9,- 4 IA CA 5kt2 N%-Q (UF F. 10=2- O-f f2�A Zy2-1-•
#5 Building Square Footage: (existing/proposed)
1� 1st FI q?? / 2nd FI $7r/ 3rd FI / Loft /
Basement / Deck / #bedroomsj/ #bathrooms /
Garage 97$ / Carport *'3 )(o / (Circle: ttached r Detached?)
Other sq. ft. /
#6 Use of building i1 Z'5 f C.i .0' n C.it Describe work
A/C W Co NS'TKQ L r
#7 Type of Job: New y Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms #Bathrooms Type of Heat
Purchase Price$ t1
J0L 0 6 1994
#9 Indicate by circling the applicable source if any water is on or adjacent to subjeGgAAW
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other SERV/C�c
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
Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 eachl
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins eatpump Other
Bath Tubs No. UDjt5 Fees
Showers Furn BTU
Hot Water Htr _ Heatpumps
Laundry Washer _� Vent Systems
Sinks Spot Vent Fans
Floor Drains Boilers/Compressors
Laundry Basins 3 HP
Dishwasher . Air Handling Units
Disposal J 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 $ 6 ` No.. Other
Gas Outlets
�i ood 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
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL
-o
MENCED. PROOF OF CONTINUATION OF WORK IS BY 5�
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
MENNS 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 / DATE
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
_ Approval
Planning: S2�1yOaCY`S
'ram
Environmental Health:
Building Plan Review
Occupancy Group: y Type of Const:
Fire Marshal:
Other:
FEES
Special Conditio s:
C. Building Permit 35-60
Plan Check v21-7
Plumbing Fee 57ffb
Mechanical Fee
Wood/Gas/Pellet Stove 'j.()b
Radon Monitor
Violation Fee
Site Inspection
Building State Fee .50
Other PLC, C1.a is+-
o a Other --
do
Building Valuation: TOTAL FEE ---1
ICE TO t 4277798 1994,08-23 02:09PM #091 P.02/03
DRAFT
10. I err a
,y
August 23, 1994 Alafie(?d h 5 lr�
Sal Fn Ln
Cornpacjy
Address
City State zip
Subject.: UN dues for Foam Forms
Dear Sal Ln:
Recently, six foam-form manufacturers have retained Ecotope-to c culute U-values for their
nt Roy Reinhart at Bonneville flower nrhttinistt'�t .ion (BI A) Portland
products. Re« 1 ,
}� Y Y
responded to the 111attufacturers with a series of letters.
If you are reviewing building designs that use these systems, you' appreciate these.more
definitive values. I've enclosed Roy's correspondence with this 1 ter. Yve also summarized the
values in the,tables helow:
Team Form System Thcr111al PC fol*mance
Above, Grade Wall U-NIalues
Wall Description Poly 1C Moclll. Otlact cu - cott-orin
steel Block lock -lock form Std. Var.
Form Alone. 0.068 _. -- --- --- ---
Stucco+l/2" Gyp board --- --- 0.055 0.046 --- --
1/2" T-1-11+10" Gyp board U.U63 ---
5/81,'r-{-1 1+1/2" Gyp_board _ .-. 0.058 --- --- 0.059 0.049
Lip Sidin +I/2" Gyp board 0.0ti0 --- --- --- ---
1.a Siclin ►+I/')" Pl ywood+1/2" Gyp board 0.058 --- --- --- ---
Swcco+I" IJPS+I/?," ciyp board --- --- ().t)43 n.n:�� --- ---
5/8" T-1-11+I" RPS+1/2" Gyp board --- 0.f.)45 --- --- 0.046 0.039
stucco+1" Polyiso+1/2" Gyp board -- --- 0.039 --- -- ---
5/8" T-1-I l+I" Polyiui+1/2" Gyp bonrc{ --- 0.041 --- --- 0.041 ---
1/2"'1'-I-11+1x?.Na{1crs+)/2" Gyp board 0.058 - --- -- ... ...
5 8" T-1-I I+Ix2 Nailcd,s+1/2" Gyp board 0.057 --- -- --- --- __
5/R" T-I-I I A I"EPS+I x2 N tti lers+1 2" Gyp hoard 0.044 --- --- - --
5/8" T-1-I 1+1" Pr.�l isc�+Ix2 Nttilcrs+l/2" G '?bUtsrd 0.040 --- --- --- --- --'
tiyl�tx�Iu'd=Gypsum wicll Uodua,T-1-I l =5ttvctur;il eiiling,EPS =la,xtrudiil Pc�lyStyrenc (It-5 pur inch'),Yolyiso �
=1,ulyisocyanurate(144.2 per inch)
Values in B01,I) identify systems that meet MCK'prescriptive rrquiremcnts
TO 4277798 1994,08-23 02:09PM #091 P.03/03
t ,
Foam Form System Thermal Performance
Below tirade Wall U. and F-Values
Sysletn Depth of Slab U-Value F-Value
2 Ft 0.048 0.581
Polysteel 3.5 Ft 0.045 0 547
7 Ft 0.040 0,497
2 Ft 0.048 -0,581
ICE Block 3.5 Ft 0.045 0.547
7 Ft w 0.040 0.497
2 Ft Y 0,038 0.582
Quadlock 3.5 Ft 6.636 0.550
7 Ft 0.032 0.502
2 Ft 0.046 0.591
Modulock 3.5 Ft 0.043 0.548
7 Ft 0,039 0.499 -
2 Ft 0.054 0.581
Conform Standard 3.5 Ft. 0.049 0.547
7 Ft 0.043 0.499
2 Ft 0.041 0.684
Conform Variable.Width 3.5 Ft 0.032 -(1,699
7 Ft 0.034 0.755
Values in HOLD identify systems that meet LTSGC Prescriptive requirements
If you have any qur.st.ions, please call me at, (206) 956-2138,
Sincerely,
Marvin Young
Energy Specialist
MY/kc
N-L11-58W
Lniaosures
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