HomeMy WebLinkAboutBLD93-00961 Final SFR - BLD Permit / Conditions - 1/5/1994 i
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MASON COUNTY
Mason County Bldg. III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE u MECHANICAL '114- MOBILE HOME
Footings-Se ac� date /Q�- (c - ' by I- ..� Ribbons
date 21 k b-" y UA-) Gas Piping date b
Foundation Walls date by Set Up
date 131 113 by UJ INSULATION date by
BG/SLAB Insulation Final
Floors
date r-%— 3 by LIJJ date by date by
FRAMING Walls FIRE DEPT.
date C-V- by i date Id—io -Gi3 by date by
PLUMBING OTHER
Groundwork Attic
date (C� b L(� date �j� by � c.�
D.W.V. WALLBOARD NAILING
date j' Cj- by L-c,—) date by
Water Line FINAL INSPECTION
date �4 - _c by L �✓ date / _� c�y by L t,--, date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Date Checklist Prepared qZ
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE 78�
81
Permit Number `i3 - C J�l Address lyL-- LSD ci l It, J_n,,;Z Sq. Ft.�
Name on Permit CL ) Contractor/Phone # .377— CAS 9l0
Compliance Method: Prescriptive _(Option) ( ) Component ( ) Systems Analysis
Date FOUNDATION
Insp. Rev. -muore.-t .! r .1: w 6,9P. 1, �r 'C•l�a^� j F,r m�� �, ��I ► .:S" b�l w
( ) ( lab: R- /O (Ext.foundation down to frontline/slab bottom;or interior 24"top of slab&horizontal. Radiant under entire.) i Qfki.�
( ) ( ) Below grade exterior wall insulation- R=
( ) ( ) Crawlspace ventilation: /V_//4 (1 sq.ft.NFA/150 sq.ft.floor area-cross vented)
FRAMING
( ) ( -T_ ( <tandard ( ) 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.hjAll50 sq.ft.ceiling area)
Spot exhaust fans: (4"exhaust-bath/laundry 50 cfm Ca.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: ,U cfm (Intermittent systerft manual&auto controls/sone less than or=to 1.5 at.1 WG)
INSULATION
O ( Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6"
above batt insulation)
( ) '( /r— Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.)
( ) ( ��Wall insulation(above grade) R- (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)
( ) ( - /im joist(Insulated Zii�h vapor retarder-rigid foam and caulked or 4 mil poly.) let
( ) { ) Vaulted ceiling insulation R- (Vapor retarder& 1"airspace)
FINAL
( ) ( ) Floor insulation R- (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 recirc.see Table 5-12).
( ) ( HW heaters: (NAECA label,separate power or gas shut-off,on R-10 pad if electric in unconditioned or on concrete.)
( ) ( )—eating system type: ,��tec, l'6/1 /�u.
( ) ( -)-�Radon monitor on site with instructions. No. - Supplied by MCBD
( ) ( ) Thermostat: (Heat range 55-75;AC 70-85;both 55-35. 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.)
( ) (round 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 beans,wall receptacles,fans,recessed lights.)
( ) ( Ceiling Insulation R-y (lnsulate&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. Jmpect - 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 uantity Area S . Ft. U-Value . Manufacturer Rev. Insp.
KI O O t fir,
S <
0 0 t I ( 6Y
7 ,Z
1'
Ivy
a i , LI< 1
Total glazing area: cl
1
/-T Y10 7T Total conditioned area:
�— Percentage glazing: y6 s� �' erified: !
DOORS
Plan Reviewer-List opaque doors by type (solid core, insulated,etc.)quantity,U-value,and manufacturer. Spector-
Verify door information during field inspection.
Date
Type/Quantity U-Value Manufacturer J Rev. Insp.
i
O LI
Signature of Building Inspector: Date of Final Inspection:
WVA
�HINGTON
� BuildingRecord ALB
CODE WSEO Contract#
PROGRAM
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(please check one) (please check one)
New Building ❑Addition over 500 sq. ft. Single Family ❑Duplex
Jurisdiction: Al-I o,D OA/ ❑Multifamily ❑Zero Lot Line Home '
❑Planned Unit Development r
please check one: ❑ City •'0 County Permit#
File ID #(if different from Permit
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A. Site Information B. Owner Information
Address /V& Owner (owrerattimeof construction receives utility payment)
City Zip '7 kJ. �' Company
Assessor's/Property Tax# or attach legal description) : Address IV,-- ti /
_ c n r� ✓E /'� Y f°?, L. � city , a / Stated)/9 Zip
Servicing Electric Utility P()U 4- Phone 3 7"7 S
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
I
Total Conditioned Floor Area /5!?,?s . ft. Second Duplex Unit s . ft. Total#of Units
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A. Primary Space Heat Type B. Secondary Space Heat Type C. Water Heat Type
f (check one) (check all that apply) (check one)
❑ Electric Baseboard ❑ None Electric
Electric Wall Heater Wood ❑ Gas
❑ Electric Furnace ❑ Electric Baseboard ❑ Other(specify below)
k ❑ Electric Heat Pump ❑ Other(specify below)
❑ Other
.::.................................................................................................
(for Heat Pump Only)
f
WSEC Compliance Method This building meets the Date of Permit Application
f --F�L] Prescriptive Path ❑ electric Date Building Permit Issued q -
• ❑ Component Performance ❑ other fuels Date of Insulation Inspection -
❑ 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 tpe WSEC, and that the WSEC checklist for this building is on file.
i Signatur4 of Building Official or Authorized Representative Date
4 J�
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
�y
DC-SICK t, �C 1�)0C1 7Le7ASe ( OcPermit No. -� I�Q
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Owner y Phone#
Site Address L)F- -'�5 O J y l.L U !-i j Fire District# Z?
City `� F Pr 112� St Zip ct 5
Directions to Job Site 5A JON tL.L IZD l a- Soo -P,(\ln ya (nL L-T- L�aF-r 03
i_-A2 CEA I L1L SEL I J✓D Q- 1-0-1 C, i�fF ST rt F=-LA FQ-1
I F FT N ti 25D Z70 L.t-,`? 2 ne,ggs uJ -
Owner Mailing Address l 3 Lk uke,
City St w A Zip 4 8 31
Lien/Title Holder S'n,
Address
Clty St Zip
#2 Contractor Name S EL-r- Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic? ✓ Public Water Supply ✓Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No. %a 3 t - 51 - 0 0 o 40
Legal Description C A S 5 )DQ e `)f-V 8 LOT ('V 3
#5 Building Square Footage: (existing/proposed)
00 1st FI l Sa 1-10 2nd FI / $1 (a 3rd FI / Loft /
"P Basement / w4�4 Deck / #bedrooms / #bathrooms
` Garage / 4 Coo- Carport / (Circle: ttach or Detached?)
Other sq. ft. /
#6 Use of building n fJ C_(= Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
#Bedrooms # Bathrooms Type of Heat
Purchase Price$
#9 Indicate by circling the a li source if any water is on or adjacent to subject property:
River Pond Creek Sir 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
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
1 D�JD Lo�i=,
Plumbing Fixtures ($3 each) Egg Mechanical Fixtures ($6 each)
No. i Toilets (A CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
I Bath Tubs No. UDAa Fees
_LShowers _ Furn BTU
I Hot Water Htr _ Heatpumps
I Laundry Washer r Vent Systems
Sinks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
Laundry Basins _ HP
i 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 $ No.. Other
Gas Outlets
— —�'�as, 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 OF THE 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 !� ��i J�"(� DATE
MW
1 ,
FOR OFFICIAL USE ONLY: Accepted by �'.� )� Date:,,' ��_,
i
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health: 2-es- See pi t'C Q�e Co rr' s
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 354 •Qv
Plan Check . dD
Plumbing Fee (fD
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee S�
Other
Other
Building Valuation: TOTAL FEE (o