HomeMy WebLinkAboutBLD93-0454 Final Storm Damage Repairs and Remodel - BLD Permit / Conditions - 6/7/1995 I a�a�i--`1�- �i�►o � MASON COUNTY
Mason County Bldg, III 426 W, Cedar
P.O, Box 186 Shelton, Washington 98584
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CONCRETE f MECHANICAL . OBI�E�HOME
Footings-Setback date by Ribbons
date — 3 n I/ by U. Gas Piping date b
Foundation Walls `cam �U` date by Set Up
date -!!�-Z-/- i 3 by INSULATION date by
BG/SLAB Insulation Floors Final
date -6< - - 3 by L. date by date by
FRAMING Walls FIRE DEPT.
date by date CJV, -1� by _ ' date by
PLUMBING OTHER
Groundwork f�� Attic
date - b date -j 3 by
D.W.V. 04�= WALLBOARD NAILING
date by L j date by
Water Line FINAL INSPECTION
date S�/� by Lr date _ _ S 7 by L -J date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I
CONCgE'TE• - MECHANICAL IVOBILt HOME
Footings-Setback date by Ribbons
j date by Gas Piping date b
Foundation Walls date by Set Up
date b;
,— 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
Permit No.
MASON COIINTY
` BUILDING PERMIT APPLICATION
y
PLEASE PRINT
#1 Owner . ��, S�e Phone# 20('
Site Address -„- Fire District #�_
city ,e, - St zip qjf S 2,St
Directions to
Job Site Tq1� NoY S� Rd. BcVFa�,r +o
t (�L w�.
Owner Mailing Address &s A4ave,
City St Zip
Lien/Title Holder C
Address &!-
City St wg Zip df38-3
up �-i�� 5P /5-00 --z37 -3/Qq
#2 Contractor Name o /e r iv Contractor Reg#�31c:L63C 100
Address Expiration date U� /R0/c/3
City StwLzip OF(5 zS Phone i; 2':Y�S - S-31 F_'�
#3 If septic is located on project site, include records.
Connect to Septic? Plf Public Water Supply Well
(If residential, proof of potable w ter is required)
#4 Parcel No. S�Q
Legal Descript ion j ? `I - ,' 10X,,y2
#5 Building Square Footage: _
1st Fl Zjk (2nd F1 3rd F1 Loft Basement
Deck #bedrooms #bathrooms Garage l"--�w.� Carport
Garage/Carport: Attached or Detached
Other
�L .
#6 Use of building, �tiES�P �,n _tr. /6 Describe work 1� -y k090-521ft
``'4 r% C, .se,-t GMc, Ce r Z\aka i�.�o G•Vowd1eA C W"q.
#7 Type of Job: New Add >� Alt Repair ' Demolition
Re-Roof �a Bulkhead Other
#8 MOBILE HOME INFORMATION
Model Year Make Model
Length Width_ Serial No.
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacent to property: saltwater lake
river pond wetland 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 Scale:
Name of Fronting Street Date:
APPLICANT TO DRAW SITE PLAN BELO
--- y I01�.t N�GMY•
C
1
Zee
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELO
J
y
Plumping Fixtures F Mechanical Fixtures
No. I Toilets Primary Heat Source (circle type)
Bath Basins Elect/'heatpump/other
Bath Tuba
Showers NO. FEE
Hot Water Htr Furn
Laundry Washer Heat Pumps
Sinks _ Vent Sys (Central)
Floor Drains Vent Fans (Spot/Whole)
Laundry Basins Boilers/Compressors
Dishwasher HP
Disposal Air Handling Unit
Urinals cfm.
Other Fire Protection Systems
Permit Basic Fee
TOTAL PLUMBING $
Other
Gas Outlets.Hookups
Wood/Pellet/Gas Stove
Other
Permit Basic Fee
TOTAL MECHANICAL $
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK
IS COMMENCED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT 1S ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE 1N
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. DEPARTMENT.
X OWNER v X BY
DATE / r - DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, IPA 98584 427-9670/1-800-562-5628
FOR OFFICIAL USE ONLY; Accepted by: I1ate:
I
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond Hold
Approval
Planning: �!
Environmental Health:
Building Plan Review:
Occupancy Group:
Fire Marshal:
Other:
FEES
iiSpecial Conditions: 11 11Site Inspection
11
11 IlBuilding Permit
Fee
Fee I
11 Il Plan Check
11 1i
11 Il Plumbing Fee (�
(� !� . ��Mechanical Fee
11
11 Ilwoodstove Fee
�) 11 IF
11 IlBuilding State Fee
!I
JiBuilding Valuation: TOTALI
Date Checklist Prepared
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND MAQ CODE COMPLIANCE n
'ermit Number q3 -0(y5(1 Address 230 Mq,)Je"c)c( G7 E A
ame on Permit_ ��J;��I,Fz_Y �1 II;, �, Sq. Ft. 10Q
compliance Method: Prescriptive Contractor/Phone # �7S -
p -�--(Option) ( ) Component ( ) Systems Analysis
row; t)
ate
FOUNDATION
.1sp. Rev.
( � Slab: R- O (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:
(1 sq.ft.NEA/I50 sq.ft.floor area-cross vented)
FRAMING
( � ( �tandard ( ) Intermediate
. ( ) Advanced
( ) Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.)
( tandard air seal: (Bottom plate/subfloor,rim joist/mudsill,windowidoor frames,penetrations condition to non-condition.( q:—Atic ventilation I a to q )
1 9• �A/1S0 s .ft,ailing area)
( pot exhaust fans: (4"exhaust-bath/laundry 50 cfm®.25 WG;kitchen 100 dm®.25 WG. vented out with dam
'�_�WhOle
sh air ventilation: Available to all habitable rooms. Installed and ritional. P�)house exhaust fan: cfm(in erm;tten!i sir a (Integrated forced air,windows,wall pores,)
p CS O� p/cyn
system manual&acid con(rols/sone less than or o to 1.5 al.1 WG)
`/ INSULATION
( -" Attic baffles installed to deflect incoming air(R;gid material resistant to wind-driven moisture,extend 12",bova loose
bove bait;nsulatioo) rill or 6"
} Mechanical ventilation ducts R-4(Exhaust in unconditioned spats&supply in( conditioned space.)all insulation(above grade) R- �. ( (Batts face stapled)
�( Wall insulation (below grade-interor) R-
� i � _ (9,1b face stapled)
( ) Vapor retarders on walls (Faced bath or 4 mil l r p
poly perm. atnr -arc a one)
Rim JOISt(Insulated with vapor retarder-rigid foam and caul or 4 trd poly.)
( Vaulted ceiling insulation R- _(Vapor retarder& 1"air apse)
FINAL
( ��oor 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 fsstenem.)
( ) Pipe insulation R-3 (Hot and cold lines in unconditioned areas.service or retire.see Table 5-17).
( ) SHW heaters: (NAECA label,separate power or gas shut-off,on R-10 pad if electric in unconditioned cc oo concrete.)
(� eating system type:_ /�o. -fir 11 — �g0-0
ts
( Radon monitor on site with instructions.No.
- supplied by McaD
Thermostat: (Ileac sage 55-75;AC 70-85;both 55-85. Backup heat controls(lockout)prevent simultaneous s stem ,
( ) Solid fuel appls.: (Glass/metal tight-fitting doors;dir.comb.air source,or 4"dla,dam operation of lamniar' Y )
pored,indir.source for exerting tronst)
(( round cover: (6 mil black polyethylene or approved equal la Joints,
Aped 12"al extending to foundation wall)P pP enetrations(All exterior wall and ceiling penetrations sealed to drywall-plumbing,exposed beats,wall recepucles,fans,recessed lights.)
( " I Ceiling Insulation R-� (Insulate&weatherstrip access,battle to prevent spillover.no cardboard)
Vapor retarder paint if a vapor retarder was not installed when insulation was installed.
GLAZING Ce-viSeCQ
Plan Reviewer-F11 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. n
b Z
Size Quantity Area Sq. Ft. U-Value Manufacturer Rev. Insp.
5-D Z/ BCD I 1 !�►
J
10
�l �SG� ► .33 v(--
.3�
z.
Total glazing area:
Total conditioned area: D06
Percentage glazing: E:Aerffled:
DOORS
Plan Reviewer-List opaque doors by type(solid core, insulated,etc.)quantity,U-value,and manufacturer. IMpector-
Verify door information during field inspection.
Type/Quantity U-Value Manufacturer Rev. Insp.
I
2 �hl�� O ccn�L
Signature of Building Inspector: Date of Final Inspection•
Page No. 1 CASE HISTORY FOR CASE NO.: BLD93-0454
WILLIAM BEISLEY
230 MAPLEWOOD CT NE BELFAIR
06/17/93
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BLDA010 Application received / / / / 04/14/93 04/14/93 KS
BLDA500 (F) Issue building permit / / / / 05/05/93 DONE TW 05/05/93 TW
BLDA900 Telephone call / / / / 06/17/93 He called in window schedule changes - REVI DLF 06/17/93 DF
WSEC compliance still OK. I requested
that he bring in Plans showing revisions
for review by his inspector (header
specs/location of
glazing(tempered?egress?in shear
corner?) Changes need approval.
BLDB110 Structural Plan Review 04/14/93 / / 05/05/93 TO MIKE BYRNE'S DESK; Issuing permit DONE MJB 05/05/93 MJB
5-5-93
BLDB120 WSEC Compliance Review 05/03/93 / / 05/04/93 Return to EH when FINI 5-4-93 WSEC FINI DLF 05/04/93 DF
Review complete. Returned property file
to Mike Byrne instead of EH as requested
- I spoke with Carolyn Jensen and she
has been in touch with Mr. Beisley
today. Please have whomever comes in to
pick u permit see Dan (or Debbera)
regarding WSEC compliance information.
Thank You!
BLDB129 Sent to Planning / / / / 04/15/93 On Jason's desk. 04/16/93 MMS
BLD8130 Planning Review 04/15/93 / / 04/26/93 to MB DONE JEM 04/27/93 JEM
BLDB200 Environmental Health Review 05/03/93 / / 05/05/93 Need to be in compliance with current DONE MJB 05/05/93 MJB
code on exisitng system and verify
reserve; sent letter 5/3/93. TO E.H.
FROM MJB 4-27-93..CONTINUE TO PROCESS.
Plot plan and verification by owner;
Lot size greater than one acre; plot
plan indicates sufficient area for
reserve. MJB
BLDC110 Footing inspection 05/11/93 05/18/93 05/18/93 PASS LW 05/21/93 FVC
BLDC115 Foundation wall inspection 05/24/93 05/25/93 05/25/93 PASS LW 05/25/93 DWH
BLDC116 Below Grade Insulation 06/01/93 06/03/93 06/03/93 PASS LW 06/04/93 LAW
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