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Home My WebLink AboutBLD92-01369 Final SFR - BLD Permit / Conditions - 1/4/1994 MASON COUNTY Mason County Bldg. 111 426 W. Cedar L P.O. Box 186 Shelton, Washington 98584 84 11192— 1 3G9 tit V0 tit IV I;I,I. NEWMAN & NFW14AN M-MIN Pi t"INIII'M t CA- I J t4i It1= i Ili I ii p I Ilk i it t II I lit, I W IA j III:r4 I J, f I i lllii" it I, o lit V Ili: IV lit ri lit 40 j o lit Ij it IIi OPP ii1vt 6 4 it 1 f10 V 0 1 If W 14 A}1 111 R ff 1p 1 1 A 0 f It I Ill Irld It A IfI1111,"61 IIIIN ifl' It t I? tu. It T*f VIPIP iloi I I1 1 0 q A WIN Wil Iii A 1[10461;" 1 1 f'o Ill I>i t A I Ri I li 0 o f P 1 1;iv t 10 A I 10 1,1 i t f fi,v Ili ill i it{} 1; 1 1 Ia ;t t ii I I it f I it IlliN!i" .4 R 1 M�tV 444— C 0 I'll I'Il 1 N 1 0 A f I 'o It it (I f,'j j jjqj CONCRETE MECHANICAL MOBILE HOME Footings-Setback date Ql! �� ' s c; -by L Ribbons date -%-5 by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date CJ`)/- 7 I--')by date by date by FRAMING Walls FIRE DEPT. G. , ,� � dat -lay - date `� -Z -GI ( 1 date by by PLUMBING OTHER Attic Groundwor � date ;J7 �_date 3� b /2-3— 3 by Ut Q D.W.V. WALLBOARD NAILING date 6�)7,L q-j -%3 by L date by Water Line FINAL INSPECTION date,�,U _ _ 73 by I I date 6L/ - y- 9 by L date by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 4 S i cc-e— -Pr_A\I 4k i I 1�rq�t -p r Date Checklist Prepared MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1991 WSEC AND V&IAQ CODE COMPLIANCE Permit Number Address Sq. Ft. e 6:44 Name on Permit Contractor/Phone # -7 G Compliance Method: Prescriptive -T- (Option) ( ) 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- ( ) � ) Crawlspaee ventilation: 7 (1 sq.ft.NFA/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,rimjoist/mudsill,window/door frames,penetrations condition to non-condition.) Attic ventilation (1 sq.ft.tiFA/150 sq.ft.ceiling area) 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 fhm `) Cfm (Intermittent system manual&auto controls/sone less than or=to 1.5 at.I WG INSULATION Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6" above bait insulation) Mechanical ventilation ducts R4 (Exhaust in unconditioned space&supply in conditioned space.) ( ) ) Wall insulation (above grade) R- c-21 (Batts face stapled) ( ) ( ) Wall insulation (below grade- interior) R- (Batts face stapled) ( ) ) Vapor retarders on walls (Faced bait,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- r 56 (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 reci c.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: 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 priory system), Solid fuel appls.: (Glass/metal tight-fitting doors;dir.comb.air source,or 4"dia.dampened,indir.source for existing cotut.) 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. i f GLAZING Plan Reviewer-F11 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. Ins . Total glazing area: G � Total conditioned area: O Cz;4 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 U-Value Manufacturer Rev. Insp. 1 Signature of Building Inspector: Date of Final Inspection: MASON COIINTy Permit No.BLD BUILDING PERMIT APPLICATION PLEASE PRINT 9LO41a - 13 #1 Owner Phone# Site Address /�"C �? �� 1� Aq.�ceti� �L.VI� city 4 F, /+ St- : Zip des a d� Directions to Job Site old p Owner Mailing Address �'�� 3 6'/ ,�674 7y City 2 r- tp St ! l/A Zip Lien/Title Holder Address City St Zip #2 Contractor Name_ ,1VV1 t- Contractor Reg# Address Expiration date City St Zip Phone #3 If septic is located on project site, include records. Connect to Septic?Z_ Public Water Supply= Well______ (If residential, proof of potable water may be required) #4 Parcel No. /Z)— 3v_ -5-3_ 000 .-8 Legal Description #5 Building Square Footage: (existing/proposed) 1st FI 2nd FI — / 3rd Fl / Loft I Basement / Deck / #bedrooms #bathrooms Garage / Carport=(Circle: Attached or Detached?) Other sq ft / #6 Use of building S r Wit' Describe work r'y �� #7 Type of Job: New Add_ Alt Repair_ Demolition Woodstove_ Re-Roof Bulkhead_____ Other #8 BILE HOME INFORMATI 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 No . Toilets _J Vent Systems X 3 . 00 Bath Basins Vent Fans X 3 . 00 Bath Tubs ;2 No. Boilers/Compressors _Showers 0-3 HP 6. 00 Hot Water Htr ,� 3 -15 HP 6 . 00 Laundry Washer 15-30 HP 6 . 00 Sinks r 30-50 HP i 6 . 00 Floor Drains 50 + HP 6 . 00 Laundry Basins No. Air Handling Unit 7 Dishwasher "f <= 10000 cfm. 7. 50 Disposal 10000 cfm. 7. 50 Urinals Other Other Evap Coolers Hoods Permit Basic Fee 3 . 00 Fire Suppression TOTAL PLUMBING $ !.: / Domes_ Incin. A- 1 Comml. Incin. Reloc/Repair _ 6 . 00 Mechanical Fixtures Gas Outlets X 2 .00 No. Fuel Types Wocdstove separate Furn < IOOK BTU 6 . 00 Other Furs >a IOOK BTU 6. 00 Furn - Floor 6 . 00 Permit Basic Fee 10 . 00 Heat Pumps 6.00 TOTAL MECHANICAL $ lb � ,- NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTIONS AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTMS AFTER WORK IS COMMENCED OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE .I CERTIFY THAT I AN A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AN AWARE IN THE STATE OF WASHINGTON AND I AN 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 SMALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. `v. L < (V' 1 -4�' OEPARTMENT. X OWNER0'lit e�_-� X BY - - 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 OFFICIAL USE ONLY: Accepted by: Fz F Date: Cf 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 Imnrovements Easements Name of Flanking Street Scale: Name of Fronting Street Date: APPLICANT TO DRAW SITE PLAN BELO PLICANT TO DRAW TOPOGRAPHY PROFILE BELO If II � I'rdzat II II =uoT�pnTVA buzpTTngll 1 I 993-a:lp:lS buTpTTngll II 1 . I I II II ' II II I aa3 ano2spooMll II II I II � 9/ I aa3 TpoT��ay�ll II II I II aa3 B cMnTd II II II II up I II II I u� Td II II II i II II II I aa3 u0T:lpbT2s8r► j uot:lieToTAII II II I I II II II I 9a3 uoT:VpToTAll II II r s I II II II I ZT=;Bd bmpTTnEll 11 II I II it �I I uoT'aoadsul a�TSII 11 =suoT�Tpuo� TpToadSll I xqTp o :TTrqsxrX a=Try dnoso Xoupdn000 :KaTaag upTcd buTPTTnH 1w :bQT�td Ienojddd PION Puo:) PanoJddtl azxo ELM s laao Mal AA W A raV r -V 7 T 1►TFXTA T T-%T'%-7 T!T T Date Checklist Prepared /4-/-i 3 MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1991 WSEC AND V&IAQ CODE COMPLIANCE Permit Number q,9- 1 6'q- Address ;A)6 �yv &t[j�) Sq. Ft. e 6:!t Name on Permit N1et_0mCi n ':� N ecv; "' ,') Contractor/Phone # "�',-7`D - 3`==�4 Compliance Method: 1(�,) Prescriptive -T- (Option) ( ) Component O Systems Analysis Date FOUNDATION Insp. Rev. ( ) ( ) Slab: R- (Ext.foundation down to frostline/slab bo(tom;or interior 24"top of stab&horizontal. Radiant under entire.) ( ) ( ) Below grade exterior wall insulation: R- ( Crawlspace ventilation: 5 -7& 0 sq.ft.NFA/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,rimjoist/mudsill,window/door frames,penetrations condition to non-condition.) Attic ventilation (1 sq.ft.NEA1150 sq.ft.ceiling area) ,'5 L,C -/S c � . ( ) ) 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. Qntegrated forced air,windows,wall ports.) Whole house exhaust fan:, Cfm (Intermittent system manual&auto controls/sone less than or=to 1.5 at.I WG) 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) ( ) ) Mechanical ventilation ducts R-4 (Exhaust in unconditioned space&supply in conditioned space.) ( ) (V) Wall insulation (above grade) R- --21 (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& 1"air space) FINAL Floor insulation R- �C ' (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 (llot and cold lines in unconditioned areas-service or recut.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: 4fXE 0 rX9—r C Zover� Radon monitor on site with instructions.No. - Supplied by MCBD ( ) ( ) Thermostat: (Flea(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 beams,wall receptacles,fans,recessed lights.) ( ) (-4) 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. f 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. Ins . Total glazing area: Total conditioned area: Percentage glazing: C , � /. Verified: DOORS Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. IjMpector- Verify door information during field inspection. Date Type/Quantity U-Value Manufacturer Rev. Insp. c � Signature of Building Inspector: Date of Final Inspection: w �HINGTON ENS BuildingRecord mot# A B CODE PROGRAM (please check one) (please check one) El New Building ❑Addition over 500 sq. ft. '-❑Single Family ❑Duplex Jurisdiction: ❑Multifamily ❑Zero Lot Line Home ❑Planned Unit Development please check one: ❑ City ❑County Permit# 9,�� - 42,& �I Fi le I D#(if different from Permit M ........................ . ........ _ . ....._..._ _... . _ _._.. ........ _ ............................................................................. ............................................................... .......................................................................................................................................................................................................................................................................................... .......................................................................................................................................................................................................................................................................................... A. Site Information B. Owner Information Address Owner (owner at time ofconstruc8onreceives utilftypaymeno City Y. Zip ': _,, "' Company Assessor's Property Tax# or attach legal descri lion : Address = `y ' f` City `� � r`i`G) rr States Zip r�.n ,7 Servicing Electric it fit 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 , `s . ft. Second Duplex Unit sq. ft. Total#of Units S:< >::::>::>:<:::>:>::::::»>:::::::>:::>:::::<:::::::>:<:<><.<:::>:<:::»:<:<:::::<:::><.::<;: «««:>««««<<:::«::<::<::<::«<:<:..............................+,I�...........................................................................................................................:...:....:.:.::�: .............. ....... . ...................... ..... A. Primary Space Heat Type B. Secondary Space Heat Type C. Water Heat Type (check one) (check all that apply) (check one) ❑ Electric Baseboard 0 None ® Electric fl 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 ❑ Prescriptive Path ❑ electric Date Building Permit Issued ❑ Component Performance ❑ other fuels Date of Insulation Inspection fl System Analysis requirements of the WSEC. 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. 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 12 s2 WSEO-White Copy Utility/Owner-Canary Copy Jurisdiction-Pink Copy