HomeMy WebLinkAboutBLD92-1495 SFR - BLD Permit / Conditions - 1/26/1993 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings- 3
date ��� b date by Ribbons
y Gas Piping date b
Found w s„� date by Set Up
date ,� by INSULATION date by
BG/SLAB Insulation Floors I O�Z '/� Final
date b Lis date b y date b y
date FRAMING b Walls I L _ FIRE DEPT.
PLUMBING y ate ��- / Zby / date by
OTHER
Groundwork ` el(, 'Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date L ,p L o by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
• Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case. No .
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ICONCRET E 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
r ,
Date Checklist Prepared 1*0
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE
Permit Number - �'��I S Address E 203-7 C'�lct� e/ ,�- q. Ft. /-7k-5
Name on Permit 6e6 Contrac(�J one# a - 3g70
Compliance Method: Prescriptive (Option) ( ) Component ( ) Systems Analysis
E/er✓fri G
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: (1 sq.ft.NEA/150 sq.ft.floor area-cross vented)
FRAMING
Standard ( ) Intermediate ( ) Advanced
Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.)
Standard air seal: (Bottom plate/subfloor,rim joist/mudsill,window/door frames,penetrations condition to non-condition.)
( ) (V) Attic ventilation (1 sq.ft. iFA/150 sq.ft.ceiling area)/71 3 ll WA
! 1S L
U _ ',lo� ,d Al��
Spot exhaust fans: (4"exhaust-bath/laundry 50 cfm @.25 WG;kitchen 100 drn®.25 WG. Vented out with dampers.) �
( ) (r ) Fresh air ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.)
Whole house exhaust fapin2 cfin (Intermittent system manual&auto controls/sone less than or=to 1.5 at.1 WG)
INSULATION
( ) (-4) Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6"
above bait insulation)
( ) (V) Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.)
Wall insulation(above grade) R- (Batts face stapled)
( ) ( ) Wall insulation(below grade-interior) R- (Batts face stapled)
( ) (r ) 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- 5E) (vapor retarder&I"air space)
S t fx�t/
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 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).
SHW heaters: (NAECA label,separate power or gas shut-off,on R-10 ad if electric in unconditioned or on concrete.)
��'Heating system type: C Ir i �1�5
( ) (-A) 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"din.dampered,indir.source for existing coast.)
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,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.
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.
0 8 sc o /l 3 -tn�z'v�fritic
c/050 .3 /JlrP�
�5a 514 �11 / S or
-Z W ✓ �C> .3
0
Total glazing area: a 30.S--
Total conditioned area: 7 /,—'3
Percentage glazing: A3. 6 Verified:
DOORS
Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. Ili pgrto[-
Verify door information during field inspection.
Date
Type/Quantity U-Value Manufacturer Rev. Insp.
Signature of Building Inspector: Date of Final Inspection:
it/E 21 21 ®/e( 11-6i fl /may '►
�r Date Checklist Prepared �a
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE
Permit Number 92-/L/95 Address A_/E IA n/a J2r/'/- I'livL4 Sq. Ft. 1lai0
Name on Permit BkAiA,�,9,CI9, 14de5 Contractor/Phone # q 75 — 3,-11O
Compliance Method: '�-) Prescriptive = (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: ► .`7 (1 sq.ft.LTAII50 sq.ft.floor area-cross vented)
FRAMING
Standard ( ) Intermediate ( ) Advanced
( t4c,�W Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.)
( ) ) Standard air seal: (Bottom plate/subfloor,rim joist/mudsill,window/door frames,penetrations condition to non-condition.)
( ) ) Attic ventilation (1 sq.ft.1LFA/150 sq.ft.ceiling area) �(p�',��JU— 1017 t ((p�s�-�SLR y (�> =-TTML_ l S,i
Spot exhaust fans: (4"exhaust-bath laundry 50 cfm @.25 WG;kitchen 100 cfm @.25 WG. Vented out with dampers.) 111
Fresh air ventilation: Available to all habitable rooms. Installed and operational. (integrated forced air,windows,wall ports.)
Whole house exhaust fan: Cfm (Intermittent system manual&auto controls/sone less than or=to 1.5 at.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 bait insulation)
Mechanical ventilation ducts R4(Exhaust in unconditioned space&supply in conditioned space.)
( ) ) Wall insulation (above grade) R- (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.)
( ) (v) Vaulted ceiling insulation R- )` (vapor retarder& 1"air space) S►5 � (15.J�s
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 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).
SHW heaters: (NAECA label,separate power oras shut-off,on R•10 pad if electric in unconditioned or on concrete.)
Heating system type: .EIE�r 1.to--- ��� c=
( ) ) Radon monitor on site with instructions.No. - supplied by MCBD
( ) ( ) Thermostat: (Beat 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"din..dampened,indir.source for existing coast.)
( ) ) Ground cover: (6 mil black polyethylene or approved equal lapped 12"at joints,extending to foundation wall.)
( ) 1 ) Penetrations(All exterior wall and ceiling penetrations sealed to drywall-plumbing,exposed beams,wall receptacles,fans,recessed lights.)
( ) _ ) Ceiling Insulation R- (insulate&weatherstrip access,baffle to prevent spillover-no cardboard)
( ) ' 10 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. Ins .
o Jv cH I '
�r--LU- 6 7"0
oc-D 7� r
��3w oc 1 I
Total glazing area: =-qO 5-
Total conditioned area: /4`' --
Percentage glazing: I a 7 %, Verified:
DOORS
Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. Impactor-
Verify door information during field inspection.
Date
Type/Quantity U-Value Manufacturer Rev. Insp.
F cto 1
Signature of Building Inspector: Date of Final Inspection:
A It
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F O R INSPECTIONS CALL 4 2 7—9 6 7 0
BETWEEN 5pm AND 8am 427-7262
BLD92-1495 PARCEL : 123174"190101. PLAT : DIV: HLK : LOT ;
JOB ADDRESS : NE 2071 OLD BELFAIR HWY BELFAIR
OWNER : MILES BRAINARD UNK
CONTRACTOR : MILES CONSTRUCTION 275-3470
LEGAL : TR 13 OF NE SE TR B-1 OF SP 11681 FS 15118:19:1
CLASS OF WORK NEW BL0R : 3 . BATH : 2 TYPE AMODUNT BY DATE RECEIPT TYPE AMOUNT BY GATE RECEIPT
TYPE OF USE . . . . : SF STORIES . . . . . . . : 1
OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : O . Oft IPRMT $ 319.00 NJP 01/26/93 31995 STFE $ 4.50 NJP 01/26/93 31995
TYPE OF CONST . . : ? FIREPLACES . . . . : 1 PLCK $ 159.50 NJP 01f26193 31995
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 P L M $ 29.00 NJP 01/26193 31995
DWELL . UNITS . . . . : 0 PARKING SPACES : 0 MCH $ 19.00 NJP @1/26/93 31995
INSPECTION AREA : 1 SHORELINE ?. . . . : N W 0 S 1 $ 15.00 NJP 01/26/93 31995L// TOTAL: 546.00 VALLILATION: 61057 !/
SETBACKS-------------- TOILETS . . . . . . . . . . : 2 FUEL TYPFS---------- BOILERS/COMP---- MOBTLE HOME--
FRONT . . . S 86 . Oft BATH BASINS . . . . . . : 3 : ? : 0-3 HP . : 0
REAR . . . . N 6O . Oft BATH TUBS . . . . . . . . : 1 3-15 HP . : 0 MODEL : ?
SIDE ( 1) . E 1O8 . Oft SHOWERS . . . . . . . . . . : 2 FURN < 1.O0K BTU : 0 15--30 HP . : 0 —MAKE------
SIDE (2 ) .W 1O8 . Oft WATER HEATERS . . . . : 1 FURN >=1O0K BTU : 0 30-50 HP . : 0 ?
SHRLINE . ? O . Oft CLOTHES WASHERS . . : 1 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 1 HFAT PUMP . . . . . . : 0 ?
LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 1610Sf ORINKTNG FOUNT . ; . : 0 VENT FANS . . . . . . . 4 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT. . . : 0sf LAUNDRY TRAYS . . . . : 1 DOMES . INCIN : O —SERIAL#----
DECKS . . . . . . . 24Osf DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS-- COMML . INCIN : O ?
GAR/CARP : G 658sf GARB DISPOSALS . . . : 0 <= 10000 cfm. : 0 RELOC /REPAIR : 0
AT/DT . : A URINALS . . . . . . . . . . : 0 10000 cfm. : 0 OTHER UNITS . : 0
MTSC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT 0ESCRIPI10N:RESI0ENCE
PROJECT LOCATION:NE 2 12 1 OLD 8 E L F A I R H W Y
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAL INSPECTION MUST BE
APPROVED BEFORE BUILDING CAN BE OCCUPIED.
i d n
OWNER OR AGENT: CiJ __ DATE:
BLD_PRMT, rev: 03/31 1 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
MASON COUNTY
- Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
II:: ....IL... C 1(11 II' II II::;U ::II:. ...II.. J::: Ell II".dl
Case No . : BLD92-1495 r
For : MILES BRAINARD
Page : 1
1 ) The use , handling and storage of hazardous materials or flammable and combustible
liquids in this structure is nnt� allowed without approval of the Mason County Fire
Marshal .
C..ir » G
x_..___. ___C.
Perms; No.3LL
MASON COIINTY '
BUILDING PERMIT APPLICATION
PLEASE PRINT
&vV- 1 4q5
#1 Owner 1L`c5 �J�� ,�, ,� Phone
Site Address
City � S t ip —
Di ��ee
rections to obSite
Owner Mailing Address V
City �L�a�rL St wa. Zip s-g S0- 9
Lien/Title Holder
Address _ S-lg,j-, E
City St Zip
#2 * ,Vqtqr Named 1Y.�,5 C O�y.c r �c�� oAJ Contractor Reg#M,zgs c*o 4oT�s
Address A), S-, 2 / Z/ ar 0 RZe-E-41/L ,u4e, :r Expiration date 2 //,o / 9�
City (�����i2 St—Zip 1�52-e Phone �-; 7s- E 1/7/0
#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)
#4 Parcel No. /� 3 /� -�' �(�/lj/
Legal Description ?-2 /.3 AU5_ 5� -'✓ 2 43
#5 Build4g Square Footage: (existing/proposed)
Ist F1411C /sa Fr Znd F1 ------f 3rd Fl -- Loft /
Basement ---� Deck 2� /sue Fr #bedrooms / _ #bathrooms -=•/
GarageI—&T 3 /sue F T- Carport ------1-- (Circle: Attached' or Detached?)
Other sq ft /
#6 Use of buildingS����F ��+ Describe work
/<0 S' cW F
#7 Type of Job: New Add Alt Repair Demolition
Woodstove Re-Roof Bulkhead Other
#8 MOBILE KOM INFORMATION
Model Year Make Model
Length Width_ Serial. No.
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacewo property: saltwater lake
river pond 1}ywetland seasonal runoff
00
NO ' 2 i'O1�QtS Vent Svstems X 3 . 00
Bath Basins Vent Fans X 3 . 00 lo�oo
_LBath 71ubs No. Boilers/Compressors
2 Showers 0-3
6 . 00
1 Hat Water Htr Z, 3 -15 HP
. 00
Laund_-r Washer 15-30 HP 5_00
/ WSi .ks 30- 50 HP 6 . 00
0 Floor Drains 50 + HP c 6 . 00
t Laundry Hasi:s No. Air Handling Unit
/Dishwasher <= 10000 cftl. 7 . 50
o Disposal > 10000 cfm. 7 . 50
�IIrinals Other
Other r`vaD Coolers
Hoods
Permit Basic Fee 3 .00 Fire Suppression
TOTAL PLMOING $ _Z_c�. —Domes . Incin.
Comml. Incin.
Reloc/Repair 6 . 00
Mechanical Fixtures Gas Outlets X 2 .00
No . Fuel Types w ftljft44L* sevarat-
Furs < 100K BTU 6 OQ Other
Fury >- 100K BTII 5`00
"urn - Floor 6 . 00 Permit Basic Fee 10 . 00
Heat Pumps 6 . 00 TOTAL MECHANICAL eC
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCITON•
AUMORIZED IS NOT COMMEN= WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTMfEE AF'I'..R w0p_T,
IS COMMENC=
OWNERS AFFinaVrr ACTORS AFF=V=
I CERTIFY THAT I AN EXEMPT Flan THE REMIREIERTS OF THE .I CERTIFY TRAT I AN A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCW 18.27 AND AN AWARE IN TINE STATE OF WASHINGTON AND I AN AWARE OF THE
OF THE MASON CaJIN TY Ot0 I MANa RECU I R eNDNTS FOR WN I CH ORD I MANGE REW I RENEHTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED ANO THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISMJED ANO ALL WORK OONE WILL BE IN
CONFORMANCE THEREWITH. 40 CHANGES SMALL SE MADE CONFdRMANCg THEREWITH. 40 CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL " THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. OEPARTM TT. D
X OWNER X BY
Return pe i t to: Departaent 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:"rw Date:
Show following on the site plan
Lac Dimensions Flood Zones
Existing Structures Fences
St_scture Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Scale: ���� S en
Name of Fronting Street Date:
PLICANT TO DRAW SITE PLAN BELO
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PRO pGSGD i
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DEPAKTNIENrA,L REVMW
FOR OFPIC.S IIs$ ONLY
rADDraved Card HOW
Approval
Planning:
Environmental Health:
r'
Building Plan Review:
Occupancy Group : t •. . L ce
Fire Marshall:
e
Other:
i u �f4:-1":�l`� •car' •
1
IISDeCial COndit10 FpF$
I1 Ilsite Inspection 1 II
!�
II (IBuilding Perait -'�1 -2 i II
it ?/ Il Violation Fee I II
II II I; _ it
11 Violation Investigation Fee I II
Il �
II �
it IlPlan check
II S !I I ►1
11 11 Plumbing Fee II
Il 11 11Mechanic
II a -`Fee: r
II II IlWaodstove Fee - d
II I, I II
1, Il IlBuilding State• Fee
1113uilding Valuation: II II TOTALI II
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?'ELFAIR NE 3150 Highway 300, I3elfair, WA
Poniher PqN 7H£N 14,
°we .Her ncM Rd
..' •o, Road `THE e,\-• P/
o Fo°n Dnq.00d Rd -Tiger Mrssron Rd.
i� Lowe Rd
4a ti
Bella l Dr Dal 0
Daly Dr 1\
fff 61 West T,qe, Way Eost T.Ver Way
e
et .Fs �' a "•t •
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fCA UP PUNU �h
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Bella" Manor Dr _ '11A.
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® Form Rd N•Mk�G�s Pe ��r°� ''
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APPLICANT NAME: Y��
BUILDING PERMIT CHECKLIST
W0010. SITE ADDRESS
If site address is not listed, customer needs to be given
site address form.
V/0► DIRECTIONS TO JOB SITE
Needs to be as complete as possible (i.e. major roads, is
house on left or right side of road) Be sure to read for
clarity.
LIEN/TITLE HOLDER
Who holds the mortgage? (Bank or name of private owner
holding contract)
%o0002 . CONTRACTOR REGISTRATION # & EXPIRATION DATE
This information needs to be provided. Building Department
may be able to research expiration information if
customer doesn't know it. We must have a signature in 1 of
the 2 boxes, either the applicant or the contractor.
W0003 . SEPTIC RECORDS
Septic records should be included or be sure to inform
customer of $25 record research fee for Environmental Health.
If no records are available, make a notation on the form "No
Records" . If septic was just perked, please indicate in upper
left corner.
PARCEL #
Parcel # must be included or researched through Gateway.
. BUILDING SQUARE FOOTAGE
Verify that boxes are filled in. If there's a garage, verify
whether it is attached or detached. Include sq footage
information for mobile homes (you can multiply length X width
' to determine number) .
00006 . USE OF BUILDING
Is it a residence, garage, greenhouse, etc. . . ?
DESCRIBE WORK
(i.e. mobile home addition, addition to a house, etc. . . )
V0007 . TYPE OF JOB
Verify boxes are marked.
�. MOBILE HOME INFORMATION
Verify boxes are marked. If factory order, please put factory
order # in mobile home serial #.
mom
i
� 9 -
BUILDING PERMIT CHECKLIST
SHORELINES
If any water is on or adjacent to property within 200 feet,
#9 must be complete. Once permit is entered into Tidemark, it
will be routed to the Planning Department. If property is not
on water, then put "none" or "n/a" .
10 . SITE PLAN DRAWING
Must have setbacks from all property lines, easement lines
and structures.
%00,4,11.TOPOGRAPHY DRAWING
If property is flat write "flat" on the topography section.
If house or structure is near a slope or hill, drawing must
reflect this.
000012 .OWNER OR CONTRACTOR AFFIDAVIT
Owner or contractor must sign affadavit statement and date
it.
V* 13 .ACCEPTED BY
Whoever is accepting permit information must sign your
initials and date form on the bottom of page 3 or use date
�� stamp and initial on back of permit.
604 .PRINTS
Need two sets of prints unless it is a stock plan. For stock
�� plans, we only require one copy.
r15.WATER ADEQUACY
For new residences and mobiles. Private wells must have well
logs or capacity test and bacterial test.
100,
6 .WSEC & V & IAQ CODE
Energy code applies to new residences, additions to new
residences and additions to living area for mobiles.
Compliance form must be complete unless the applicant has a
signed agreement with either PUD (#10 or #3) indicating
-- ..// participation in the Long Term Good Cents program.
V17 .PLUMBING/MECHANICAL
This form must be completed for any structure with plumbing
and mechanical excluding mobiles/modulars.
** DO NOT ACCEPT PERMIT APPLICATION WITHOUT PRINTS AND DETAILED
REQUIRED INFORMATION (SETBACKS, ADDRESSES, PARCEL# AND WATER) .
"permitck"
12/08/92
2 times the heiV of Structure TSap t f
ca of
t3' Max. FOotrq
a
f=
Nat Faca of Toe of to exceed 40'-[-
_
Structure Slope 3
E BUILDING OFFICIAL MAY APPRQV'
TYPICAL STRUCTURAL SETBACK ALTERNATE SE7BAG6 a CLEARANCES
Scale I'
Sample Site Plan
2 41'
1 3' 14'
40� 32' 20. I
O PROPOSED n ,
RESIDENCE
net•
EDGE OF 13ANK Septic Tart a
s
24' c
40'
a
O o
h 56'
Min.3's•ftlau I well(see 121
238' I
V
TYPICAL SITE PLAN IN = 20'
J. DOE 1406 Mason U. Or.
N
P.P
ENEF-, GY CODE INFO � M ,� TION
Project, 234A1 NAP—D
Date: io - -:5o -872-
Insulation and Vapor Barriers:
A. Minimum R- j o in walls
B. Minimum R- in rafters Ccathedral ceiling)
G. Minimum R- 8 in attic
D. Minimum R- in floor
E. Minimum R- at slab edge
F. Minimum R- 30 .Sc�sso�z �cis��s
Code Conformance:
A. Climate Zone:-
B. Gonforms to the Washington State Energy Code.
C. Conforms to the_ PR.A— -)r rj vL= method of energy Code,
Gonf ormance. Option no. T"
a 1. Group R Occupancy I-teating by Electric Resistance X
2. Group R Occupancy rteating by Other Fuels
D. See Compliance Report for further information.
Framing Methods:
A. Wall framing method shall be
B. Roof framing method shall be a-5
Floor areas 1610
Glazing area] 205.5
Percent of glazing= i2• 7
Analyst: 6;e�4YnoN
Foster 4- Williams Associates. P.S.
I
Project:T_,�_�_...._._,.�_
A1 N A eD
WINDOW SCHEDULE
WINDOWS
13 AND -) U-YA"15- QUANT. SI ARrzA (SCE. FT.)
e
5 3& .5
►• 3 Si��� u�►� 2 4° o o i
Las 0 40
n 2 04 0
300 39 Z 5,5, 5o i 1
TOTAL WINDOW AREA 2 05.5
SKYLIGHTS
BRAND Mo E •/( E ) U-vA UE QUANT. SIZE ARREA (8a. FT.)
TOTAL SKYLIGHT AREA
DOORS
DRAND MO EL 0/( ) W-VALM QUANT. SIM AFMA (SQ. FT.)
oe 30 %
----- - ----- --
--_ — _- -- '1'O'1'AL, DOOR AREA 39