HomeMy WebLinkAboutBLD93-0359 Final SFR - BLD Permit / Conditions - 4/12/1994 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
RO, Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date L-- %(( by e j Ribbons
date '-2 - �i"3 by Gas Fiping date b
Foundation Walls date by Set Up
date 7-2 k —5 by L---� INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date 3 /G c by date by
PLUMBING date 3 %`( by
Attic OTHER
Groundwork
date(w; 2-3-�)Z( by I date by
D.W.V. WALLBOARD NAILING
date 3•- C. `j j by date by
Water Line FINAL INSPECTION
date 3 - by date z_�_ /Z _ 5�� by _� date by
. MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
ORRECTION NOTICE
Job Location 1�t,1) ci 3--ate;
/ L_ &< L�r_S�N1 �lc�cX
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
l ��o� ►'cX� y�1�_ /�� :ail '`c�c�1�tJ �� 4 J—)4Sr J-
/ e/ r'1 � �� r'? '�G► �, 'I !� - tom.,� / (l !d ! C_�
'f k e— D� l r 1 G r-LL 'C)0 \ C11��C1
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
UOKto
ex� L,)h C15 Department /?)Y4
Date 2 - 7-5 Inspector < z- r
■ joU NUT immMUV 1 — T" ,%A
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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GL c/ D � j/a Date Checklist Prepared /
UPI C�'fr' MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE
Permit Number � es A16 �os1 ��•�lJJ'I�/�� _ Sq. Ft. / 76 9
Name on Permit /l/&/�1 A! A� n/sG d&/-�-Dce>-SContractor/Phone# '20l - /3'7 7
Compliance Method: Pr tive (Option) ( ) Component O Systems Analysis
Date FOUNDATION
Insp. Rev.
Slab: R- (J (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.NTA/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.)
( ) = ) Attic ventilation (1 sq.ft.hTA/150 sq.ft.ceiling area) (c -150 = 5 , (yA
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:-EL'cfm(Intermittent system manual&auto controls/sone less than or=to 1.5 at.1 WG)
INSULATION
A[ baffles installed to deflect incoming air Ri id material resistant to wind-driven moisture extend 12"above loose fill or 6"
( ) (v) tic b es stal g ( g ,
above batt insulation)
Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.)
( ) ) Wall insulation (above grade) R- / 9 (Batts face stapled)
( ) {v ) Wall insulation(below grade-interior) R- I tt (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&1"air space)
FINAL
�0 Ae-K incA-1
( ) ) Floor insulation R- �O //(Substantial contact w/su ace,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 concrete.)
( ) ) Heating system type: E/f e i kl d— Z50-J&-Q
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.)
( ) ) Penetrations(All exterior wall and ceiling penetrations sealed to drywall-plumbing,exposed beams,wall receptacles,fans,recessed lights.)
Ceiling Insulation R-3_(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. Imp ce for- Verify window
information during field inspections. Include skylights, ;lass doors and all other glazing on this form. Use rough opening
area for calculations.
Date
Size Ouantity Area S . Ft. U-Value Manufacturer Rev. Insp.
3�' Q
s
v
u'/Arcs cry
�o — ice ( .
CP C',5 V 52 .3`-
XID ! Coy
r 4CI
Av(-� C)A
Total glazing area:
Total conditioned area: ��O
Percentage glazing: Verified:
DOORS
Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. jwpector-
Verify door information during field inspection.
Date
Type/Quantity U-Value Manufacturer Rev. Insp.
Signature of Building Inspector: Date of Final Inspection:
STATE ON Attachment B
-ENS BuildingRecord ,mot# .<< -
CODE
PROGRAM
(please check one) (please check one)
:❑New Building ❑Addition over 500 sq.ft. `El Single Family ❑Duplex
Jurisdiction: ❑Multifamily ❑Zero Lot Line Home
❑Planned Unit Development
please check one: ❑ City El County Permit# 'Yj - 606 q
File ID#(if different from Permit l
A. Site Information B. Owner Information
Address Owner (owner at time of construction receives utilitypayment)
City / a";,-, Zip Company
Assessor's Property Tax# (or attach legal description): Address P0 O a'
4J City f �� ir' Statel-t,•A Zip
Servicing Electric Utility Phone
C. If Single Family, Zero Lot Line or D. Duplex E. If Multifamily(R-1)
Planned Unit Development First Duplex Unit sq. ft. Total#of Buildings
Total Conditioned Floor Area ./ )( � scl. ft. Second Duplex Unit sq. ft. Total#of 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 Electric
O Electric Wall Heater ❑ Wood ❑ Gas
❑ Electric Furnace ❑ Electric Baseboard ❑ Other(specify below)
❑ Electric Heat Pump ❑ Other(specify below)
❑ Other
(for Heat Pump Only)
WSEC Compliance Method This building meets the Date of Permit Application a 6-
El Prescriptive Path ❑ electric Date Building Permit Issued 117
❑ Component Performance ❑ other fuels Date of Insulation Inspection
❑ System Analysis requirements of the WSEC. Date of Final Inspection / -- >4r
l 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.
1
Signature of Building Official or Authorized Representative Date
Return canary copy to the servicing electric utility to trigger WSEC compliance payment
Return white copy to: Kathleen Skaar, Washington State Energy Office, P.O. Box 43165, Olympia, WA 98504-3165 t2 s2
WSEO-White Copy Utility/Owner-Canary Copy Jurisdiction-Pink Copy
Permit No.
( MASON COMTrY
ffU1LDWG PERMIT APPLICATION
P EASE PRINT c' W7 ; bP
C '
#1 Owner i e Phone#
Site A dress Lv Fire District #
City^ L a iR St
Directions to Job Site TY T A1e)Te,,r/
Owner Maili g Address ,69 /o2a
City i tiC St Allf, Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name 7 *7e Contractor Reg#P-MA A dflam
Address SA-,17� Expiration date 7 / 3y/ 43
City St Zip Phone
#3 If septic is located on project site, include records .
Connect to Septic? Public Water Supply L� Well
(If residential, proof of potable water is required)
#4 Parcel No. ) o'l 3 3 U - K3- OOD/✓
Legal Description 1� a z lD�` /3
#5 Building Square Footage:
1st Fl 2nd F1 to ya 3rd F1 Loft Basement
Deck- #bedrooms #bathrooms oZ Garage� `f� Carport
Garage/Carport: ttache or Detached
Other
#6 Use of building �C S�` i�S Describe work 4/L*,;
#7 Type of Job: New ✓ Add Alt Repair Demolition
Re-Roof Bulkhead Other
#S 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: 3, 9 3
JL-
APPLICANT TO DRAW SITE PLAN BELOCIQ
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures Fee Mechanical Fixtures
No. Toilets 9 Primary Heat Source (circle type)
Bath Basins �_ Elect/heatpump/other
Bath Tubs '
Showers NO. FEE
Hot Water Htr 3 Furn
Laundry Washer 3 Heat Pumps
=Sinks Vent Sys (Central)
Floor Drains -� Vent Fans (Spot/Whole)
Laundry Basins Boilers/Compressors
( Dishwasher 3 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 I 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 IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
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 X B
DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
. .............................................
FOR OFFTC , 'I #?I�t�Y: Accepted by: Date: ` ,
DEPARTMENTAL REVIEW
FOR OFFICE USE MMY
Approved Cond Hold
Approval
Planning:
Environmental Health: L(
Building Plan Review: ?
Occupancy Group:R�_
Fire Marshal:
Other:
FEES
IlSpecial Conditions: II 11site Inspection I II
II II I
II II IlBuilding Permit I II
II II I ��3 I
II II 11 a`; e F
II II I
II II 11violation Investigation Fee I II
II II I _ i
II II IlPlan Check I 6�� II
II II ii 11
G
II II II Plumbing Fee I� � II
11 11 I 1
11 11 11Mechanical Fee I �3 11
11 11 H ii
11 11 IlWoodatove Fee 1 11
11 11 1 o I
11 11 IlBuilding State Fee 1 11
11 ii H 11
11Building Valuation: �� 11 11 TOTAL I C 11
l� 11 11 1 q