HomeMy WebLinkAboutBLD94-0493 Final SFR - BLD Permit / Conditions - 7/13/1994 MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
RI 0'44-04113 1 tit
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C014P L I ANC TO AIIACHUD CON0111ONS 1.5 h k..#4 u 4 k u I)
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback , date &-/ - 5 by Z- Ribbons
date` .,Cc.J by Gas Piping date by
Foundation Walls date by Set Up
date S e e lo1 ) by INSULATION date by
BG/SLAB Insulation Floors Final
date - 1/ by date by date by
FRAMIN I jqkej FIRE DEPT.
. Walls
date date(p(t Q date by
PLUMBI G OTHER
Groundwork Attic
date S-- 17-5 y by date by
D W V WALLBOARD NAILING p(-p
date (o- ? by date C, ( ( ---,a by
Water U FINAL INSPECTION
date b date 5Q 10./oJ by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
---- ----- - - -
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
F.O. Box 186 Shelton, Washington 98584
I
gas�r pLd'Vs Slot,r-
�J�dGi` /'{®tr 1d5s Permit No.
MASON COUNTY c+—
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 ,�J
PLEASE PRINT /�_ (Y
#1 Owner801c' S'e u'JLG'114VzX5 44--, Phone#
Site Address Niel V �di!�' " Fire District#
City 5 , St_ eli6 Zip o/f!GS''
Directions to Job Site �/z/ nvx)* V ' /7- e S 7ilew,
® �1 (_s�:tSO �'�`o�►% rs1 n1 G.G,O <a5J
Owner Mailing Address
City �ai St k//K Zip
Lien/Title pHlder l �
z 15-e
City St Zip G1�S
#2 Contractor ame U'G�' &.' Contractor Reg AP1,01 6.T 1,061
Address , d. Expiration Date _/,;?-f' /VY
City a- ` St el&13(Zip v Phone#
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply V Well /
Connect to Sewer System? Name of System //,/d
(If residential, proof of potable water is required)
#4 Parcel No./A�30- 5 z - e)D �
� ,
Legal Description I �
#5 Building Square Footage: (existing/propos" ed)
1st FI $* / 2nd FI / 3rd FI / Loft /
Basement 501 Deck�X/�9�#bedrooms / #bathrooms o�_/
Garage v2 arport / (Circle. ttach�or Detached?)
Other sq.ft. /
#6 Use of building
`l Describe work ��
#7 Type of Job: New I-� 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
1
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
r
10
7�'10 A-,WZ
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 each)
C%V
No. Toilets ;L CIRCLE FUEL TYPE: Gas, Electric,
-Bath Basins Heatpump, Other
ath Tubs No. UnitsFees
_ owers Furn BTU
7 Hot Water Htr J Heatpumps
_Laundry Washer Vent Systems
GU j
jSinks 3 Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
Dishwasher r No. Air Handling Units
c
Disposal cfm#
Urinals No. Fire Protection Systems
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING oo her
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD -r
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $�
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE 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 X �
DATE DAT �
FOR OFFICIAL USE ONLY: Accepted by: Date:
-----------
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review roc P I A N 44 O 699 3 �-
Occupancy Group:�'3 Type of Const: -N
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check Np ,I A j C.0
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee <-j . .so
Other
3�-4 / 37• Other
Building Valuation: TOTAL FEE L/0 .S`�
t
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.
�5- 4) 4ra—
�06 I,H T U
17. 5 .35 C) [.Z:;-
-
o �o X,/p 9 •�S
(0 J s= �3 'Total glazing area: el a /
6,0x . �{� ��o�
'total conditioned area:
t,A
Percentage glazing: /3 ' 3 �' Verified: _—
DOORS
Plan Reviewer-List opaque doors by type (solid core, insulated,etc.)quantity,U-value,and manufacturer. I»pector -
Verify door infornation during field inspection. Date
Type/Quantity
U-Value Manufacturer Rev. I Insp.
° 8 &Lk/TR,
p , z
Signature of Building Inspector:
Date of Final Inspection:
.)/ L."(_i ) / '(_ i l'
oeo�'q'3 e-c.-) Date Checklist Prepared t4 a5 qi!g-
0;i i7q3DH
MASON COUNTY BUILDING DEPARTMENT
•PLAN REVIEWER AND INSPECTOR CHECKLIST
)��C 1991 WSEC AND V&IAQ CODE COMPLIANCE
-mit Number Qq-01493 Address l.lE `yI (1, • K'dd. Sq. Ft. 708
me on Permit f,4RA D 1'5�& 00/e- D E'e_,S Contractor/Phone # 731- 1399 0e//a%r
mpliance Method: Prescriptive .IT (Option) ( ) Component O Systems Analysis
to FOUNDATION
;p. Rev.
( ) Slab: R- 1(] (F.xt,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.NX-All50 sq.ft.floor area-cross vented)
FRAMING THESE PLANS MUSE 138
CV THr-_ JOB SITE
S4utdard ( > Intennediate ( > Advanced FOR INSPECTION.
( ) 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. lI EA/150 sq.ft.ceiling area) eX0 16/1_50 :n,-Cj.`7 6 fA Ga.r.
(' ) Spot exhaust fans: (4"exhaust-bath/laundry 50 cfm L.25 WQ kitchen 100 cfm @.25 WG. Vented out w2 dampers.)
(v ) Flesh air Ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.)
Whole house exhaust fan:_60 cfin (Intermittent system manual&auto controls/sone less than or=to 1.5 at.I WG)
INSULATION
Attic battles installed to deflect incolning air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6"
above bast insulation)
(�) MechaIlical Ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.)
Wall insulation(above grade) R- I q (Batts face stapled)
(v ) Wall insulation (below grade- interior) R-—I q (Batts face stapled) llVISON 811,1BIRC INSPECTOR
(� ) Vapor retarders on Walls (Faced batt,or 4 mil poly or perm.paint.-circle one) UARGES :SUBJECT 4'O APPROVAL
(A ) Rim joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly.) C__A� Date 4_Z& 9y
( ) Vaulted ceiling insulation R-_ (valor retarder& 1"air space) I
FINAL
overharl�
(�) Floor insulation R- (Substantial contact w/.•uface,supports less than or=to 24"0C,not blocking vents.)
(J ) 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 (Ilot and cold lines in unconditioned areas-service or recirc.see Table 5-12).
(mot) SHW heaters: (NAECA label,separate power or gas shut-off,on R-10 pad if electric in unconditioned or on concrete.)
(�) Heating system type:
Radon monitor on site with instructions. No. Supplied by MCBD
( ) ThennostaC (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"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 beams,wall receptacles,fans,recessed lights.)
(V ) Ceiling Insulation R-3 9 (Insulate&weatherstrip access,baffle to prevent spillover-no cardboard)
(�) Vapor retarder paint if a vapor retarder was not installed when insulation was installed.
y
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1100
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160
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SEC. 30 -2 3 (019
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