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BLD95-0725 SFR - BLD Permit / Conditions - 6/30/1995
MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 B t.) 1 t... 0 1 N r P F R M I 'T FOR INSPECTIONS CALL 42.7-9670 BETWEEN bpm AND Sam 427-7262 OLD95--0725 PARCEL : 123305000O02 PLAT :BEPL0 DIV : BLK : LOTe ,JOB ADDRESS . NE 70 L.ARSON BLVD BULt=AIR OWNER t BEVERAGE CONSTRUCTION 830...4509 CONTRACTOR : BEVERAGE CONSTRUCTION INC , 830- 4509 LEGAL : AFANOS COYF DIY 3 TRACT P CLASS OF WORK . . (NEW BEDR : 3 :BATH : 3 TYPE A114111 IV /ATE RECEIPT TYPE AMOUNT BY DATE RTC€IPT TYPE: OF USI= . . . . tSF" STOR I ES . . ... . . . :2 � $ OCCUP : GROUP . . . s? BLDG . HE I%H:T . . : O .Oft ENCP 1 10.00 KS 06130195 39526 SIFF ! 4.64 KS 46130195 39526 TYPE OF CON:>T . . :? F IREPLACE:S,. . . . t 0 RLC 1 42.08 KS 06130195 39526 PROT 366.00 KS 06130195 39526 OCCLIP . L.OAD . . . . t 0 WOODSTOVEd. . . . : 0 NADI 1 8.00 KS 16011195 39526 DWELL .UNITS . . . . 1 0 PARKING SPACES : 0 Pit 1 51.11 KS 06130195 39526 INSPECTION AREA : 1 SHORELINE? . . . . ►N NCR 1 39.01 KS 06131195 39526 TOTAL: $20.50 YALUTAT IOM: 10104 TOILETS . . ,. .' OILETS . . `. . 3 FUEL TYPES----------- BOILERS/COMP-..,--- MOBILE: HOME••^ FRONT . . .N 40 .Ott BATH BASINS . . . . 2 : 0-3 HP . : 0 REAR . . . .S 30 .Oft BATH TUBS'. . . . . . . . : 2 3- 15 HP . : 0 MODEL : SIDE ( 1 ) .W 1£i710ft SHOWE=RS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-:3O HP . : 0 --MAKF_ __._.__ SiDE (2) .E 10 .Oft WAFER HEATERS . : 1 TURN >-10OK BTU : 0 30 -60 HP . : 0 SHRL 4 NE . O .oft CLOTHES WASHERS . t 1 FURN -- FLOOR . . . t 0 504- HP . : 0 AREA --_ -_--- - --- -- KITCHEN SINKS . . . . s i HEAT' PUMP _ . . . . e 0 LOT S17E . . t FLOOR DRA1NS . . . . . s 0 VENT SYSTEMS . . . ( 0 FVAP COOLERS : 0 LENGTH : 0 BUILDING . , . . 141509f DRINKING FMNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : i DOMES . I NC T N :0 - DECKS . . . . . . .. 08 f DISHWASHERS . , . . . . ; 1 AIR HANDLING UNITS-- COMML. , I NC i N :O GAR/CARP :G 4FtOsf GARB DISPOSALS _ -, 0 <- 10000 atm . : 0 RFLOC/REPAIR : 0 AT/DT . :A URINALS . . . . . . . . . . . 0 > 10000 r..fm . : 0 OTHER UNITS . : 0 MI:�C PLM F I XTURFS t 0 GAS OUTLETS . t Gf PROJECT DESCRIP11011PESIDF.NCE PROJECT LOCATION:BFLFAIR TO 300 WEST, R1601 ON SAND Will RD NW, IETT ON LARSON BLYD, TO 3RD 101 ON R1601 BEFORE {:APT i!10. THIS PERMIT RECONES 0911 AND VOID IF WORK 08 CONSTRUCTION rIITNORIZFD IS NOT CONNENCF.D WITHIN 184 DAYS, OR If CONSTRNC1101 OR WORK IS SUSPFNOEO FOR A ?ERICA OF 1/A DAYS AT ANY TINE AFTER WORK 19 CONNENCED. EVIDENCE Of CONTINUATION Of WORK Is A PROGRESS INSP€CT1ON WITHIN TNF 180 DAY PERIOD. FIRAI 1119PffTION N►,:•T B APPROVED 81FO0E 8011.0106 CAN Of OCCUPIED. OWNER OR AGENT: Dl D lNNT, r C "ED CONDITIONS IS RFOU I CONCRETE MECHANICAL MOTILE HOME Footings-Setback �—� 7 31-5J date _S 7 by L Ribbons date by s Piping date b Foundation W Is 0 V_121- by Set Up date by ` a ULATION date by BG/SfAB 1 sulation Final date — — j by date y S by L date by FRAMING FIRE DEPT. date ��— — `3 .S Walls by � � off__� _ � date by PLUMBING date l� by 4-✓ OTHER Groundwork Attie date 7—3 t — 5 S by date by D.W.V. WALLBOARD NAILING J date �— S by L date �'J — by Water Line FINAL INSPECTION L—✓ date C — / _ 5 � by ✓ date 2 - �,_cI by date by -7 1,2- J r L one r -i'c, _ Zre-)0Cr f-c Mc� Z �.. 71L ,— �n S� 14 r, e.� ` �1b C�l '� 4 �l i �S � lG. T�O✓1 any\ J�C��.J C�� ��� MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PUHRMI 'T Case No . : BL.D95,-0125 For : BEVERAGE CONSTRUCTION Page , i 1 ) Sub eot 'to conditions of Resoure L r c ands and Citical Areas (RLC) Checklist not ca n lettl c er . X. c> 2 ) The use, handling and stores.je of hazardous materials cor flammable and combustible liquids in excess of 10 gallons Is not allowed without the approval of the Mason County Fire Marshal . X 3 ) Structure must be setback 5 ' from all utility and drainage easements , a total of 10 ' from each pro erty line ( 15 ' on rear property line) , or a variance must be obtained from the Building gepartment . X 4 ) Proposed structure or any portion therer.)-f greater than 30" In height from grade line , must maintain a minimum of 5 ' setback from all property lines, ea-,ements and right of ways . , X i 5) All approved plans are required to be on-site for Inspection purposes , It Inspection Is called for and plans are not on site Approval WILL NOT be granted . In addition , a amount fee in the ount of $AO .O per- hour (miniTunj I hour ) will be charged and must be collected by this department prior, to any further Inspections being performed or approval granted . X 6) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 30!5(C ) AND SECTION 513 ALL. SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO fat PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RFINSPECTION 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 L4 7) The aorrention list , along with 'the Energy Compliance Worksheet (when applicable) Is 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 by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by i . Date Checklist Prepared C a a 3- SS MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1991 WSEC AND V&IAQ CODE COMPLIANCE Permit Number 61.S-01Z'� Address h E—10 Lar56Yl �. or . Sq. Ft. 1532, Name on Permit .9_A C. Contractor/Phone # i 3( - 4<9 q Compliance Method: Prescrip ve (Option) ( ) Component ( ) Systems Analysis (✓l+,¢C. t�oSiS-fit ue�. Date FOUNDATION Insp. Rev. ( ) ( Slab: R- i(� (Ext.foundation down to frostline/slab bottom;or interior 2 "top of slab&horizontal. Radiant under entire.) ( ) ( ) Below grade exterior wall insulation: R- ( ) ( ) Crawlspace ventilation: Ga 6 L2 (1 sq.ft.NFA1150 sq.ft.floor area-cross vented) FRAMING ( ) (<) (mil 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.) ( ) (><) Attic ventilation (1 sq.ft.NFA/150 sq.ft.ceiling area) Iv L. O/(c57)7�, _1 0 ( ) (79 Spot exhaust fans: (4"exhaust-bath/laundry 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: Cfm(Intermittent system manual&auto controls/cone less than or=to 1.5 at.1 WG) TIZIU INSULATION Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6" above batt insulation) ( ) (>0 Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.) ( ) (><) Wall insulation(above grade) R- '"L�(Batts face stapled) ( ) V)ot!�, Wall insulation(below grade-interior) R- (Batts face stapled) Vapor retarders on walls (Faced bats,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 ( ) (>0 o�ra r Floor insulation R- 3D (Su tial co ct w/surface,supports less than or=to 24"OC,not blocking vents.) ( ) (>4 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 concrete.) ( ) ( Heating system type: LA p e_ �tiaa �1 FenS Ct; q S�Ca G 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.dampered,indir.source for existing const.) ( ) ( ) Ground cover: (6 mil black polyethylene or approved equal lapped 12"at joints,extending to foundation wall.) ( ) ( )e) Penetrations(All exterior wall and ceiling penetrations sealed to drywall-plumbing,exposed beams,wall receptacles,fans,recessed lights.) ( ) ( Ceiling Insulation Rn Mate&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. Inspector- 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. © I e-,4 � - c5 v � 33 3 L402 D !bbl �j L4 ( ZZ 504C) WH p3 o CC Total glazing area: Z b Lko y� Total conditioned area: (��7 1 3 °J•$ /d Percentage glazing: Verified: DOORS Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. nspector- Verify door information during field inspection. Date Type/Quantity U-Value Manufacturer Rev. Insp. Signature of Building Inspector: Date of Final Inspection: IINGTONair Buildin Record WSEOConbmt# 1-19-ment B RMRAM 9 For Site-Built Residential Buildings Heated by Electric Resistance or Heat Pumps < ..� (please check one) (please check one) New Building ❑Addition over 500 sq. ft. (please Family ❑ Duplex Jurisdiction: 1A �i []Multifamily ❑Zero Lot Line Home ❑ Planned unit Development + please check one: ❑ city Ounty Permit# /5-07,-;?.5 FI le I D# (if different from Permit#) + A. Site Information B. Owner Information Address /t/C 70 Owner owneratt.meofconstruction receives utility payment �e✓c>rG� �5�i'z>Gf7 bn City "fz",I Zip Company Assessor's Property Tax#(or attach l al escri lion Address 3 0 if �Di cry S City State A Zi / Servicing Electric Utility C/(Z3 Phone ( 3 0 C. If Single Family,Zero Lot Line or D. Duplex E.If Multifamily(R-1) Planned Unit Development f53 First Duplex Unit s .ft. Total#/Bld s. Total Conditioned Floor Area s . ft. Second Duplex Unit s . ft. Total #/Units A. Primary Space Heat Type B. Secondary Space Heat Type C. Water Heat Type (check one) (check all that apply) \ (check one) ❑ Electric Baseboard None 'NJ Electric Electric Wall Heater ❑ Wood ❑ Gas ❑ Electric Furnace ❑ Electric Baseboard ❑ Other (specify below) ❑ Electric Heat Pump ❑ Other (specify below) ❑ Other .::.:..::.:.:::::.:.:......:::::.:::.;:::::::...:-;:.;:.;:.;:.;:.. ::::.. :::: : ..... .......:::.:. :::::::::::. . ::.:;-:::::.:;.;:-:. : :-:::::::::....:..::.. ::::: \ WSEC Compliance Method For Heat Pump Only: �.J Prescriptive Path Built to the Electric Date of Permit Application o7- �/- cfs ❑ Component Performance Requirements of WSEC? Date Building Permit Issued -c3�_�S Date of Insulation InspectionrJ ❑ System Analysis ❑ Yes ❑ No (If yes, utility may offer incentive.) Date of Final Inspection — 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 / the WSEC, and that the WSEC checklist for this building is on file. 02 — 3 Sign of 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 5-95 bionfl pnibliuS pqmljs tGo" '1,? qafwlpi;,r- 13 ve h3jr.91i ;-,rpr,.jhjjpb tie Fj !Icol- -"-!f vw1wc. A wwio ap-eibbA --y: -(4 vP- -T V;'+c Qi s dU NI'009 OniDIVIO2 (t-A)ylirnistifluM H.3 1 x91qua .a , lo gnij ft--# 019S "'Mmisl elpip-ti .3 tnemqolsysG tlrffJ bennijiq I bSncJibnu3 IMT 21inLl\# IE;IoT' P .Pa sgsA qu eqyT fmH-vefsW .3 eqyT fsqH 9o-fqzl: sc.,,,iT tsq-H 93sq2 yiisrfihq A to I bisodsas8 Oi7f,.eG f U00W u iefseH IIFW ohI3913 rl bisodw2ritl:):M913 I 9osmu-I Oht.-)eG 006,"d qrnu9 ts9H ohl'oe13 ledlo :Ylnc (,,ITIuci jFqFf�01 bQWnlv( sonailov.10,0032W srif a, Pius 0;;9 r _U, jUjua 91E �")�iaw to Pingm9liup--.p no;Jf!uanl lo etsC, --- -, ., :'' (.11 '. C, Pipylsf,,A mellayaw J 110,Itc den Oditu IFrli9 to els eli I!ividl, �bl)'D-jr'nsn3 slsl2 nalzinitim'" TO-Q-1 edt\(d .evil nc) 6 lwi''k"re, aril L b(ixhorhuA io Isioirt)pnibluB to' yflifu oiifoel( pniolvv.-edt of yqm yienso bisvno� ftflu 7,4nenrisq n p io len a _r, WO w hiji ici yqonAniq nisfeF; :tnsrnhE.rC pnibliule N /U o to . S Aoc.k Plc,,,, o Y l '7 4 S b P b q5-� a5 Permit No. MASON COUNTY BUILDING PERMIT APPLICATION J C �426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT r �e�e_r�e Co %J' T .,.� . Phone# 3(00 - 19-S0 - ti s-0 Ck Site Address /U 7n ",r Fire District#CQ City k,3 A. St WA Zip 9852,E Directions to Job Site &\E;.-r fin 3� W 4- R N: a SZ� nJ C �asSn' aI'J'A -#-Q 3,; -\ Len A- t-3� c' aiAC'A-eck Owner Mailing Address ge%-Pe.'are 3596 City ?t ew.e r kc,— St [,J A Zip R53(7 Lien/Title Holder Address 1 3(0ciQ L J 4J City St W A Zip 9 g 3 i Z #2 Contractor Name p c.-eCc, r e Co•.s k 1h c Contractor Reg# geue, CT o 66 L A Address 3,RS a s LJ,. Expiration Date s / / / 94 City Sc c'Ile r{o . St ,v A Zip ^r 831 7 Phone# 3(,0 - �3n ti C..`1 #3 If septic is located on project site, include records. Connect to Septic?_ycS Public Water Supply c S Well Connect to Sewer System?_& _Name of System Ftc,r A S c oU C W4 Ear W FT TO 5'1C)o E (If residential, proof of potable water is required) # el No. ►z3- '30 - o 0 - z Legal Description ,Lod a ear`s Co�� No 3 Uo(M_c '4 laks Pa c 7�-�� cc Cptf 5 Eye M4so -. Co . ��• #5 Building Square Footage: (existing/proposed) O 1st FI O / A 7 2 2nd FI / 9 7 S 3rd FI / Loft / Basement / Deck / #bedrooms o / 3 #bathrooms d / z i Garage a / G, 'SO Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building S;�,�(c ��,..:�„ c G c P� c� %4i c (( : c Describe work A J cu-) Co,,%k #7 Type of Job: New Vc S 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 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. APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW 5eC tt c t A. Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 each) No. 3 Toilets CIRCLE FUEL TYPE: Ga LElectriQ,. a�Bath Basins Heatpump, Other Bath Tubs No. ULLS Fees Showers 2 _ Furn BTU Hot Water Htr J _ Heatpumps / Laundry Washer Vent Systems / Sinks 3 Spot Vent Fans —✓Floor Drains _ 5— No. Boilers/Compressors Laundry Basins 5 HP f Dishwasher 1_5 No. Air Handling Units _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 $�� . Other 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 TOTAL MECHANICAL $,� � OF 180 DAYS AT ANY TIME AFTER WORK IS COM- 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 BY DATE DATE -2 FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: mi»�r�►v1.pa se��xeyts' �O� ova Slalrz : /c1 Jvt -r� wJ r� Aice' 6�ro Environmental Health: Building Plan Review 5,7aCe -XAA/ /y Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES _ Building Permit Plan Check Plumbing Fee Mechanical Fee ba Wood/Gas/Pellet Stove — Radon Monitor Violation Fee Site Inspection ir Building State Fee s� Other 40,2.L OO Other Fh( ^� aUiE� , 00 Building Valuation: TOTAL FEE