HomeMy WebLinkAboutBLD93-0993 Final SFR - BLD Permit / Conditions - 11/7/1993---------------- ---------------------------- --- -----
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL _ MOBILE HOME
Footings-Setback date - Z by Ribbons
date a by Gas Piping date b
Foundation Walls date by Set Up
date -Z y— by _ INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date I I— t by L- date by
PLUMBING date j — Z, — by OTHER
Groundwork Attic
d date by
ate b te WALLBOARD NAILING
D.date of— Z y� by date by
Water Line FINAL INSPECTION
date by date /_ b date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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Date Checklist Prepared
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE Gyp Is,
/Vc" /O/ ^a
Permit Number Q q�'0q Address -C = 7 L y — _A--b;y Z (B yO
Sq. Ft. l�
Name on Permit +�A R A�?S� "A0,ZLaZR C z>vC Contractor/Phone # �2,7S - -':Zyo ( Q,
Compliance Method: Prescriptive (option) ( ) Component O Systems Analysis
!�'e-110 ► r� e�
Date FOUNDATION
'nsp. 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-
( � Crawlspace ventilation: -&YVZ = (I sq.ft.NE /150 sq.ft.floor area-cross vented)
l/Sfl
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 franca,penetrations condition to non condition.)
Attic ventilation (I sq.fl.NEA/150 sq.ft.ceiling area)
( } ( pot exhaust fans: (4"exhaust-bath/laundry 50 cfm®.25 WG;kitchen 100 cfm®.25 WG. Vented out with dampers.)
} ( PTFrcsh air ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.)
( Whole house exhaust fan:<V cGn/7lnleimittent system manual&auto controls/sone less than or=to 1.5 al.I WG)
L?5�� 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)
} ( �� echanical Ventilation ducts R4(Exhaust in unconditioned space&supply in conditioned space.)
( TWall insulation (above grade) R- f (Batts face stapled)
( ) ( ) Wall insulation(below grade- interior) R- (Batu bee stapled)
( �)�apor retarders on walls (Faced bait,or 4 mil poly or perm paint.-circle one)
( im joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly.)
( ) Vaulted ceiling insulation R- (vapor retarder& I"air space)
FINAL
( � nor insulation R- �O (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 roorro. If integrated system,certification by installer is A4
required.)
} ( } HVAC ducts in unconditioned areas R-8 (foinu sealed;mechanically fastened with a minimum of 3 fasteners.)
( q� �Pipe insulation R-3 (Ifot and cold lines in unconditioned areas-service or reeirc.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: _ 71ecid"c_ yna
-') ( Radon monitor on site with instructions.No.21g'-75qL supplied byMCBU
( } Thermostat: (Ilest range 55-75;AC 70L85;both 55.85. Backup heat controls(lockout)prevent simultaneous operation of primary system.),
( } olid fuel appis.: (Giass/metal tight-fitting doors;dir.comb•air source,or 4'dia.dampened,indir.source for existing const)
j:Jr
ou
nd cover: (6 mil black polyethylene or approved equal lapped 12'at Joints,extending to foundation wall)ll)( (All exterior wall and ceiling penetrsdons sealed to drywall-plumbing,exposed beams,wall recepucles,fans,recessed lights.)
( Cciling Insulation R- °�.�8 (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. 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 Quanbty Area S . Ft. U-Value Manufacturer Rev. Insp.
c c�
Illy
y/o /
T /
21D
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Total glazing area: (�
Total conditioned area:
Percentage glazing: Verified:
DOORS
oPlan Reviewer -List opaque doors by type(solid core, insulated, etc.) quantity, U-value,and manufacturer. Ins-vector -
erify door information during field inspection.
Date
TypdQuantity U-Value Manufacturer Rev. Insp.
Signature of Building Inspector: Date of Final Inspection:
Permit No.6(.�3'�c
Si ')p MASON COUNTY
BUILDING PERMIT APPLICATI
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-86- '2-,dWP 2 8 �993
PLEASE PRINT
#1 Owner P `J Phone# Y514�5A"FRV10ESr%Site Addr ss Fire District#
City St Zip
r
Directions ob Site
av-
Owner Mail' g A ress
City St
Lien/Title Hold t2
Address
City St Zip
#2 Contractor me S r eg# Al
Address );:mL_ IA Exp`ir o
City St-- ( on, , 52 yo
�4. S
#3 If septic is located on prof site, include records. FRv!
Connect to Septic? ublic Water Supply Well CFS
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No. - - e4(,l
Legal Description D ;C) `d 9 `�
#5 Building Square Footage: (existing/proposed)
1 st FI ! _ / 2nd FI y� / 3rd FI / Loft /
Basement / Deck c�� / #bedrooms / #bathrooms /
Garage,/ _/ Carport / (Circle:(Attach r Detached?)
Other sq. ft. /
#6 Use of building � �� � Describe work 17' l
#7 Type of Job: New v 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
IL_
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)
in relation to plot plan
Name of Fronting Street
APPLICANT TO DRAW SITE PLAN BELOW
0 ,
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K
�a
Semen e - �oa c�
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each) Fig Mechanical Fixtures ($6 each)
No.lToilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs ' No. Units Fees
_Showers Furn BTU
Hot Water Htr �7 _ Heatpumps
Systems
S
Laundry Washer Vent� Y
�z
Sinks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins 2 HP
Dishwasher / 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 $ J\ . 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. DEPART, T.
X OWNER
X BY
DATE JDATE r`
Date:
FOR OFFICIAL USE ONLY: Accepted by: (
"!�-�
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: ! lIVQ 1/fiV'�(� Se{1Dcc K S
Environmental Health: �'-S (��i C- F`Q CC)(-C�S
6
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE