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BLD94-0817 Final SFR - BLD Permit / Conditions - 11/13/1995
MASON COUNTY N TY L 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 BLD94-0817 PARCEL : 22OO921O0030 PLAT: DIV : ? BLK : ? LOT: ? JOB ADDRESS : E 4293 PICKERING RD SHELTON OWNER : BILL CROMWELL 426-5528 CONTRACTOR : OWNER IS CONTRACTOR L E G A L : 6ovt lot 1 ex + W 33' Govt lot 2 ex+ tax 714 ex E. of Co. road. CLASS OF WORK NEW BEDR : 1 . BATH : 2 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT TYPE OF USE . . . . : SF STORIES . . . . . . . : 2 OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : 0 . 0 f t RADN j 8.00 CPH 17/18/94 36550 IPRNT j 360.01 CPH 07/18/94 36550 TYPE OF CONST . . : ? FIREPLACES . . . . : 0 PLM j 48.00 CPH 07/18/94 36550 !PLCK j 180.00 CPH 07/18/94 36551 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 1 NCH j 39.00 CPH 67/18/94 36550 DWELL . UNITS . . . . : 0 PARKING SPACES : 0 WOST j 25.00 CPH 17/18/94 36551 INSPECTION AREA : 4 SHORELINE? . . . . : Y S T F E j 4.50 CPH 17/18/94 36550 TOTAL: 664.50 VALULATI0N: 68521 SETBACKS-------------- TOILETS . . . . . . . . . . : 2 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME-- FRONT . . . ? O . Oft BATH BASINS . . . . . . : 2 : /ELE / / / : 0-3 HP . : 0 REAR . . . . ? O . Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : ? SIDE ( 1 ) . ? O . Oft SHOWERS . . . . . . . . . . : 1 FURN < 1O0K BTU : 0 15-30 HP . : 0 —MAKE------ SIDE ( 2 ) . ? O . 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 . . . . : 2 HEAT PUMP . . . . . . : 0 ? LOT SIZE . . : ? FLOOR DRAINS . . . . . : 1 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : @ BUILDING . . . : 150@sf DRINKING FOUNT . . . : 1 VENT FANS . . . . . . : 4 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT . . . : @sf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#---- DECKS . . . . . . : 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O ? GAR/CARP : ? @sf GARB DISPOSALS . . . : 0 <= 10000 cfm . : 0 RELOC /REPAIR : 0 AT/DT . : ? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT 0ESCRIPTI0N:RESI0ENCE PROJECT IOCATI0N:NORTH ON H W Y 3 TO P I C K E R I N G ROAD 4 1/2 MILES ON LEFT SIDE (ROCKING HORSE IN I)RIVWAY) 1INILE SOUTH OF H A R T S T E N E BRIDGE THIS PERMIT BECOMES NUII 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 180 DAY PERI00. FINAL INSPECTION MUST BE APPROVED BEFORE 8UI'L0N6 CAN 8E OCCUPIED. OWNER OR A6ENT:�/ _121� I I,e"ti,;_.ee,(' DATE: BL0—PRNT, rev: 63/31/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . : BLD94-0817 For : BILL CROMWELL Page : 1 1 ) All upland areas disturbed or newly created by construction activities shall be seeded , vegetated or given some other equivalent type of protection against erosion . 2 ) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands . 3 ) Existing older residence to be removed at a future undetermined date . 4 ) All approved plans are required to be on—site for inspection purposes . If inspection is called for and plans are not on site , Approval WILL NOT be granted . In addition , a Re—Inspection fee in the amount of $30 . 00 per hour minimum 1 hour ) will be charged and must be collected by this department prior to any Turther inspections being performed or approval granted . x 7;-,<, 5 ) PURSUANT TO 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 BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT RE UIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . x y; 6) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS X J�'K> 7 ) The use , handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal . X 8) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code , 1991 Ventilation and Indoor Air Quality Code , the Uniform Building Code and/or Mason County Regulations must be approved by Mason County prior to c o n s t r u c t i o n X T►.r , MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 9 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE . x, :& ___ Permit No. D L1 L5 COUNTY MASON COU qa • ��� 3 UILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 P.LEAaF,P.ELLUT 0 VI #1 Owner VI CtQJAvJ#, � J Phone#41 " 5 928 ox q4�6 3 35 �tite Addre s 9 3 Fir District# S Cj p lw St W& zip Y Directions to Job Site T u/J HOY 3 TO N �/ J m i LoUTH of atAz t-r//L)e" Owner Mailing Address � � IW6! City ��e-�r'� St ' Zip Lien/Title Holder I-)gftl rS A Address City St Zip q � #2 Contractor Name S Contractor Reg# Address <E`6�7 fqd wr- Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water i required JW' #4 Parcel No. -��- 00 D Legal Description GOV'r L..QT ( 15 X d' W 33' )QT ?T a EX �ii 14 6X E `Q R� #5 Building Square Footage: (existing/proposed) 540 `4�1 1st FI / O/ z0 2nd FI / 3rd FI / Loft / *Zo Basement / Deck / 7u #bedrooms /_Z #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq. ft. / #6 Use of building (C-S1PF1'JCC Describe work #7 Type of Job: New Add Alt 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 adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other i Show following on the site plan Lot Dimensions' Flood Zones Existing Structures- Fences- 1�I Structure Setbacks Driveways- q`I 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 L`v i & /S A/��,edX. R 14 3. VY F ,U If _ . a9 !kill ,•goy 0,RL11l tx�r ,ao 0 HOU5 - V _ TE/Z i v � ftrJcl:. LiNC ' APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW =X T. t No u5c'1 i o; Plumbing Fixtures ($3 each) Sgg Mechanical Fixtures ($6 each) No. Toilets rp,00 CIRCLE FUEL TYPE: Gas,ED Bath Basins ��©d Heatpump, Other Bath Tubs No. Unija Fees E Showers -00 _ Furn BTU Hot Water Htr 31co _ Heatpumps !Laundry Washer 3,00 _ Vent Systems ,t Sinks Co'00 `� _+ Spot Vent Fans Z`t,0� Floor Drains 3600 No. Boilers/Compressors Laundry Basins 5.00 HP Dishwasher No. Air Handling Units ,Disposal cfm# _Urinals No Fire Protection Systems _Other _ Auto. Fire Alarm Sys 00 Fixed Fire Supp. Sys 5�,QO rink 15.00 Auto Fire S Sys 2 0 Permit Basic Fee — Sp rink Y TOTAL PLUMBING $ L6_00 No. Other Gas Outlets f 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 OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL A06 MENCED. PROOF OF CONTINUATION OF WORK IS BY 3q. - 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 OFTHE 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� GLh/ �1 X BY DATE 13 4Lf 71 DATE I ,OR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: (Q1S/g� Environmental Health: Building Plan Review Occupancy Group.2� Type of Const7:1 --§- Fire Marshal: Other: Special Conditions: FEES pJ Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove 5 Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE STAWASTHEINGTON Attachment B ENERGY Building Record WSEO Contract# 91-19- CODE PROGRAM For Site-Built Residential Buildings Heated by Electric Resistance or Heat Pumps ........... .......................... .............................. .............................................................. . ............... ........... .. .... .......... ... ....... ........."*'***'*............. .................. ........................... ...... . .. ...... . .................... ............... ..........- :�:X. .-.................. ... ......... .............* ...................... . . ........ . ....... .......... -------- . ........................ ............. ...................... . ..... ........ .......................................... ................ ............ (please check one) (please check one) '_S�Iew Building Ll Addition over 500 sq.ft. Cingle Family El Duplex Jurisdiction: 0multifamily E]Zero Lot Line Home El Planned Unit Development + please check one: County Permit# qq-6,?l Fi le I D# (if different from Permit + A. Site Information B. Owner Information Address 26-7 41 _ t) e-,—1'11!q Owner owner at 6me of constaiction receives utilg'y Men City zip Company Assessor's Property Tax# or attach le aldescription): Address e&l Z_/J City State Zip 9e�5nl_ Servicing Electric Utility k-76;03 Phone _'z & —6-5oR A C. If Single Family,Zero Lot Line or D. Duplex ti E.If Multifamily(R-1) Planned Unit Development First Duplex Unit sq.ft. Total #/Bldgs. Total Conditioned Floor Area sq. ft. Second Duplex Unit sq.ft. Total #/Units .... ............. .......... ..........N------ ....... ........... ....... ................... ........... .... . ....... ...... .............*....... .......... .. ........ "JURC ... .... .......... ................... ..... . ................ .... .. . .. A. Primary Space Heat Type B. Secondary Space Heat Type C. Water Heat Type (check one) (check all that apply) (check one) El Electric Baseboard 0 None Electric Electric Wall Heater Wood ❑ Gas ❑ Electric Furnace 0 Electric Baseboard E] Other (specify below) ❑ Electric Heat Pump El Other (specify below) ❑ Other ........... ...... ... . ........ .. ......... ................. WSEC Compliance Method For Heat Pump Only: Date of Permit Application Prescriptive Path Built to the Electric Date Building Permit Issued El Component Performance Requirements of WSEC? Date of Insulation Ins pection40C7 D System Analysis 0 Yes D No (If yes, Date of Final Inspection utility may offer incentive.) I hereby certify that this building or addition has been inspected for the measures required by the 1991 Washington State Energy Code WSEC), that it is in substantial compliance with th WSEC and that t WSEC checklist for this building is on file. Signa re f Building Official or Authorized Representative Date • Building Department:Return white copy to Gail Burris,Washington State Energy Office,P.O.Box 43165,Olympia,WA 98504-3165. • Owner or Building Deparment: Forward canary copy to the servicing electric utility to trigger WSEC compliance payment. • Building Department: Retain pink copy for jurisdiction's building file. WSEO#94-015 . Date Checklist Prepared 1 - Q MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST /� � 1991 WSEC AND V&IAQ CODE COMPLIANCE Permit Number. `� ' Address E o 4 a� J RckPX i►'1 Road Sq. Ft. I EX00 Name on Permit Contracfor/Phone# kaC�-SAS Compliance Method: Prescriptive 7fL (Opi ) ( ) 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- ( ) -(4) Crawlspace ventilation: �, (1 sq.ft.NEA/150�.ft floor area-cross vented) /0"10;IStJ /S /(o x(p ✓fa7t<S S/rouJ� on�/u !'1� FR&ING Standard ( ) Intermediate ( ) Advanced —Ge' I tCd I t:onneG-�-hprLS ( ) 14 ) Woodsloves and/or fireplaces: (6 sq.inches combustion air supply dud 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.h1FA/150 sq.ft.ceiling area) ( ) A ) Spot exhaust fans: (4"exhaust-ba(hnaundry 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.tff!)cfm(Intermit(ent system manual&auto controls/sone less than or=to 1.5 at.1 WG) t INSULATION Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose LII or 6" above bait insulation) ( ) ) Mechanical Ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.) ( ) 1 I Or Wall insulation(above grade) R- (Batts face stapled) ( ) ( ) Wall insulation(below grade-interior) R- (Batts face stapled) ( ) ( ) Vapor retarders on walls(Faced Batt,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&I"air space) 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 pad if electric in unconditioned or on conaete.) Heating system type: Ll e-GfYtL 6--&A MCO►-t-r' 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.dampened,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 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. JMpector- 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. 50 a . 40 O/ &°S° bo IWI-e- ZL CD roz-c •L.i 7, O D v L)- 3 0&0 V CAS c� oav LID A Total glazing area: 0�3/ Total conditioned area: Percentage glazing- Verified: DOORS Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. jmpector- Verify door information during field inspection. Date Type/Quantity - re ,x, Rev. Insp. '50(co EA-/LP FOa Cpr� Signature of Building Inspector: V U Date of Final Inspection: MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location E. q2l?�,- �-�`i This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: S�P C�Z- POL—S eP ' Items listed below must be corrected to gai code compliance 2 ' I-LAI -JAAW=M'� L"'64 C? -A /TA You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Departmen Date Inspector ■ oo 4 0T MnV TH1'-- Vj ,�