HomeMy WebLinkAboutBLD95-00545 Final SFR - BLD Permit / Conditions - 9/22/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 U I L- E7 I N C3 P E R NI I T FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND 8am 427-7262
BLD95-0545 PARCEL :3213O759O132 PLAT : DIV :? BLK :? LOT :?
JOB ADDRESS : E 1650 JENSEN RD SHELTON
OWNER : EVANS AND WAITE CONSTRUCTION 426-4662
CONTRACTOR : EVANS\WAITE CONSTRUCTION 426-4662
LEGAL : TR 13-B OF SURV 4174 TR B OF SP 11796
CLASS OF WORK NEW BEDR : 3 BATH : 2 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPTY
TYPE OF USE . . . . :SF STORIES . . . . . . . : 1
OCCUP . GROUP . . . :7 BLDG . HE I GHT . . : 0 .Oft R L C $ 42.00 KS 05/31/95 39233 S T F E $ 4.50 KS 05131195 39233 1
TYPE OF CONST . . :7 FIREPLACES . . . . : 0 MCH $ 51 .00 KS 05131195 39233 IWDST 4 25.00 KS 05/31/95 39233
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 1 PRMT S 363.00 KS 05131/95 39233 IRAON $ 8.00 KS 05131195 39233
DWELL .UNITS . . . . : 0 PARKING SPACES : 0 P L C K $ 181 .50 KS 05131/95 39233 JEHCP $ 10.00 KS 05131/95 39233
INSPECTION AREA : 2 SHORELINE? . . . . :N IPLM $ 45.00 KS 05131195 39233 (TOTAL: 730.00 VALULATiON: 69600'
SETBACKS-------------- TOILETS . . . . . . . . . . : 2 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME—
FRONT . . .S 5 .Oft BATH BASINS . . . . . . : 2 : /HP / / / 0-3 HP . : 0
REAR . . . .N 5 .Oft BATH TUBS . . . . . . . . : 1 3-15 HP . : 0 MODEL :
SIDE ( 1 ) . E 6O . Oft SHOWERS . . . . . . . . . . : 1 FURN < 1O0K BTU : 0 15-30 HP . : 0 -MAKE------
SIDE (2 ) .W 6O .Oft WATER HEATERS . . . . : 1 FURN >=1O0K BTU : 0 30-50 HP . : 0
SHRLINE . O .Oft CLOTHES WASHERS . . : 1 FURN - FLOOR . . . : 0 50+ HP . : 0 -YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 1 HEAT PUMP . . . . . . : 0
LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 1456sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O -SERIAL#----
DECKS . . . . . . : 138sf DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS-- COMML . INCIN :O
GAR/CARP :G 635sf GARB DISPOSALS . . . : 0 <= 10000 cfm . : 0 RELOC/REPAIR : 0
AT/DT . :? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRIPTION:RESIDENCE
PROJECT LOCATION:BROCKOALE RD TO JENSEN RD LOT IS MARKED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 180 DAYS AT ANY TI AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL INSPECTION MUST BE
APPROVED BEFORE BUI I G CAN BE OCCUP D.
0WNEfl 0R AGENT: Gu- ✓ L� ��� ` GATE:
BLO-PRMT, rev: 03131191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM I T C O N D I T I O N S
Case No . : BLD95-0545
For : EVANS AND WAITE CONSTRUCTION
Page : 1
1 ) The use , handling and storage of hazardous materials or flammable and combustible
liquids in excess of 10 gallons is not allowed without the approval of the Mason County
Fire Marsh I .
X
2 ) Proposed structure or any portion thereof greater than 30" in height from grade line ,
must maintain a minimum of 5 ' setback from all property lines , easements and right of
ways .
X
3 ) All approved plans are required to be on-site for inspection purposes . If inspection is
called for and plans are not on site , Approval WILL NOT be granted . In addition , a
Re- Inspection fee in the amount of $30 .00 per hour ( minimum 1 hour ) will be charged and
must be collected by this department prior to any further inspections being performed or
approval gr r.ted .
X
4 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 ( C ) AND SECTION 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE 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
REINSPECTION 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
5 ) ALL CONSTRUCTkVN MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
REQUIREMENTS
X
6 ) Proposed structure or portions thereoA with an projection over, 30" in height from grade
line , must maintain a 5 ' separation tance between adjacent structures and that
furthest projection . X
7 ) Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code , 1991 Ventilation and Indoor Air Quality
Code , the Uniform Building Code anal/or Mason County Regulations must
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
e approved by y P, c01;Z, L , u c t i o n X
8 ) ALL CONSTRUCTION MUST MEED OR EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE
CALL THI WjOFFICE BEFORE CONSTRUCTION .
X
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
R IM i _r FOR INSPECTIONS C ALI 4 2 7--9610
a BE:TWFE:N 5pm AND Flam 427--7262
EILD95—O545 PARCEL :32 1 3075901 32 PLAT : D1 V z? ELK-7 LOT -?
JOB ADDRESS : F 16nO JVNSEN RD SHE ITON
OWNER ! E=VANS AND WA I TE: CONSTRUCTION 426--4662
CONTRACTOR : F VANS tWA I FF CONSTRUCT 1 ON 4?6. 466?
LEGAL : TO 134 OF SURV 4174 1N D OF SF 1196
CLASS OF WORK . NF W BEDR : 3 ,BATH : 2 TYPE ANOUNT SY DAIF RECEIPT 11YPE ANOUNI BY DATE RECE.IPT1
TYPE OF USE . . . . :SF STORIES . . . . . . . : 1 _, _
OCCUP . GROUP . , . :7 B1.DG . HE 1 GHT . . z 0 .0'ft RLC t 42.00 KS 0513119S 39233 ISIFE t 4.59 KS 05131/96 39733
TYPE OF GUNST . . . 7 F ! RFPL_ACES . . . . : 0 (NGH 4 51.00 KS 95131195 39233 NDST t ?5.8® KS 05131195 39233
OCCUP . I OAD . z 0 WOODSTOVES . . . . : 1 PROT t 163.00 KS 0513119S 39233 RADN t 0.00 KS 05131195 39233
DWEL.L .UNITS . . . . z 0 PARKING SPACES z 0 (iFICK t 181.60 KS 05131195 39233 (EH(:P t 10.00 KS 0513t195 39233
INSPECTION AREA : 2 SHOREL INE? . . . . :N iFIN $ 45.00 KS 0513119b 39233 ITOTAIt 130.00 VAIUTATIONt 69690
lx »r ca ssscs, .:ess:ass�ss sm^:xcss..w naww=1c:.w cnas:sze._a .sx -^a cxr.I!_
-
I TBACKS- __ ___.____._ TOILETS . . . . . . . . . . : 2 FUEL TYPES--__.____-..-_ f3OIE.ERS/COMP_--_- MOBILE HOME _
FRONT . . . S 5 .Oft BATH BASINS . . > . . . : 2 : /HP ! ! i : 0 -3 HI' 0
REAR . . . .N , S .Bft BATH TUBS . . . . . . . . : 1 3-15 HP . : 0 MODEL
'S' I OF t 1 ) .E 60 .Oft SHOWERS . . . . . . . . . . : 1 FURN - 1 00K E31`11 : 0 15. 30 HP . z 0 MAk;F
SIDE (2 ) .N1 60 .Oft WATER HEATERS . . . . , 1 FURN >=100K BTU ; 0 30-50 Hp . . 0
SHRL I NF . 0 . 01 t CI OTHES WASHERS . , .- 1 FURN -- FLOOR— : 0 504 HP , : 0 —YEAR- -
UREA _.____...__.__ .__. __...__ KITCHEN SINKS . . . . : I HEAT PUMP . . . . . . ; 0
LOT SIZE . . : Ft.OOR DRAINS . . . . . : 0 VFNT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
-RU1LDINt; . . . : 1456iif DRINKING FOUNT . . . z 0 VENT FANS . . . . . . .z 0 HOODS . . . . . . . . 0 WIDTH . : 0
BASFME NT . . : : Nst t AUNDRY TRAYS . . . > ; 0 DOMFS . I NC I N :A
DECKS — _ . -. 138s. f DISHWASHERS . . . . . . 1 AIR FIANF)L I Nta UNITS-- COMMI_ . }NC IN i4)
GARlCARP :G 635st GARB DISPOSALS . . . : 0 10000 cfm . : 0 RFtOC/RE"PAIR : 0
AT/DT . :? URINALS , . . . . . . . . . : 0 10000 (; Pfit . 0 OTHER UNITS . : 0
MISG PIM FIXTURES ; 0 GAS 0
.,,-..2.[�ua7.:sa.:»'�K:xz:..:�z'12s�-..--SY�!:.tarp-4x:::S9o,C.rA--=YJC.•RAasash+ra.-r:2racccr.ixJs._casvf(�xa-rs^,.:`.x`x-.Giar<,..:._^;:.^.vax+:!m,YX.+CtSdraes^...ra,".sYY:m.^.-�e:aau—t::+*J.'-.."«�:F:--u�srr..+cr.^..:;L«iss,.a'P�...s::r.:^xces�:.�C.:�-tez t:iecanfIDl-a.CC r.:�vstG.-:'R'.M:Yea-xxkr. :c'�.:r....,:..,C.•ax2r+..,
PROJECT DESCRtPiION:RESiOENCE
PROJECT 19CATIONzBROCKDAIE RO 10 JFNSEN RD IOT IS NARKED
THIS PERNiI BECONES Nutt AND VOID IF WORK OA CONSTRUCTION AUTHORIZED IS NOT CON01100 WITHIN 180 DAYS, OR IF CONS1490101 OR WORK 1S SUSPFNDFD TOR A PERIOD
9F t88 GAYS AT ANY TINE AFTER WORK IS CONNFNCEO. EVIOENCE OF CONTINUATION OT 1019. IS A P906RESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAI INSPECTION MUST BE
APPROVED BEFORE BUIIDIN& CAN BE OCCUPIED,
4111FR ON A6E01t
810 .P1NT, revs 0313101 - COMPLIANCE 170 ATTACHED CONDITIONS IS REQUIBE:D
FFoo
CRETE-7! ®R MECHANI A n MOBILE HOME
ngs-Setback date by Ribbons
Z %5-- U1 Gas Piping date b
Foundation Walls date by Set Up
date b date b
Y INSULATION Y
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING c; C� 9 date - / - �f�� by Walls l - �_ by`'p1- date DEPT. by
PLUMBING date OTHER
Groundwork Attic
date by date by
D.W.V.
WALLBOARD NAILING�j^.
dateeNS;PECTION
date by FINAWater Linedate by date ��r by 14- date by
l
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: pX�o,or-
Items listed below must be corrected to gain code compliance
I'�a5% gD/��c�s5 o•c .��sE �i�i�,�rrrs 6�i ..57�e�ic T�s�c�
o< 5f�EE7- o
50(
-A2 U/ L //t<5V11"71Z" y�9� 2ou"t),O e� 11&o .
You are hereby notifiRlthat the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections I�em`ade before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
Department
Date f/���— Inspector lrs T d5 =
■ 104 0 NnT ► MOOV THF T ' k* M
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location
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
D
rE L x�c� ly u S i�y�l2 Ale -S a ( r
T-)"C� &0k Exic P 1 v Q' LD rv-�- -esv 4�/o o R
,-V S V IS �' Pf�7� - 4
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 I
❑ OK to �N1��T�o�C —' ,�' // 1
Cia LI �P- 0 to LL, ►� ��� Department
1 l� !�
Dated - — fit Inspector -
■ oo * NOT MOOV Tkl,--- T' ,*-mi
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location . / 65 a j��se h
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items listed bel w must be corrrted to gain code com liance ;
9 P �^
2
You are hereby notified that the above corrections shall be ma-e BEFORE
PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items ill be checked on next inspection
,2CbK to�. ox
Departme
Date �5 Inspector
;;2p i?i I'AA
■ �� N^T MOOV TH11 — T',,oni
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P F- Ft 1\4 1 ..T' C:,. " N r-) I `f' 1 C-' P J
Case No . a 81-1395--0545
For : EVANS AND WA i TE. CONSTRUCT ION
Page : 1
1 ) The use , handling and storage of hazardous materiyls or flammable and combustible
Iiquids in excess of 10 gal Ions Is not at towed without the approval of the Mason County
F I r to Marsha I .
X
2 ) Proposted structure or any part ion 'thereof greator thart 30" In height frorn grade 11ne,
must maintain a rn i n imum of 6 ' setback from all property 1 i nes , easements anti right of
ways• .
• X
a ;3 ) All approved plant. are required to be on-site for i nspec.t i can purposes . If inspection IF.
called for and plans are not on site , Approval WILL NOT be granted . In addition , a
Re- 1 nspeot ion fee in the amount of $30 .00 per hour (minimum i hour ) will be charged arid
must be collected by this department prior to any further inspections being performed or
approval granted .
x.___�_.
4 ) PURSUANT TO 1091 UNIFORM BUILDING CODE , SECTION 305(C) AND SECTION 1513 , ALL SITES MUST
HAVE; APPROVED NUMBERS OR ADDRESSES PROVIDF..D IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND t..EG i!71_F FROM THE STRFFT OR ROAD FRONTING THE PROPERTY . MASON COUNTY I?i)i t D I NC
DEPARTMENT REDO IRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPE C"T I ON FEE HASE D ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING, CODE: WIIL RE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO RFQUESTING
INSPECTIONS .
5 ) AI.L. CON57RUC7ION MIIST MFFT OR EXCEED AL1 LOCAL. CODES AND UBC
RFQU1REMENTS
X
fi ) Proposed st r►rct ure or port i ar+.: thereof with an pro i er..t i on over, '10" in he i oht from e1r€ de
line. must maintain a 5 ' separation 4''Ittance between adjacent structures anti that
furthest pro l eot i on . X
7 ) Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Quality
Code, the Uniform Building Code and/or Mason County Regulations must
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
be approved by Mason► County pr tot to uunstruc=t i onX
S) ALL CONSTPUCTION MUST MEED OR EXCEED LOCAL CODES . 1F ANY QUESTIONS, PLEASE
CALI TH1Sr PFF10E BEFORE CONSTRUCTION .
x— _-- -�='--
r
Date Checklist Prepared 5 .23
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE
Permit Number q5 "054s Address ?, I lei Sq. Ft... I _
Name on Permit Contractor/Phone# 42&• gto(o.;?
Compliance Method: ?q)Prescriptive-�(option) ( ) Component ( ) Systems Analysis
Date FOUNDATION
Insp. Rev.
( ) ( ) Slab: R- (Exi.foundation down io frontline/slab bottom;or interior 24"top of slab&horizontal. Radian(under en(ire-)
( ) ( ) Below grade exterior wall insulation: R-
( ) ( Crawispace ventilation: 145(Wl ft.NFA/150 sq.ft floor area-cross vented)
FRAMING
(� ( �Standard ( ) Intermediate ( ) Advanced
( (/� Woodstoves and/or fireplaces: (6 sq.inches combustion air supply dud with damper direct to firebox.)
(✓� Standard air seal: (Bottom plate/subfloor,rimioisUrrudsill,window/door frames,penetrations condition to non-condition
Attic ventilation (I sq.ft.M'A/I50 sq.ft.ceiling area) l 4 X (.pyj = Zmq k/t-JU = 14 T
( y' Spot exhaust fans: (4"exhaust-bath4aundry 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.�-�i wall ports.)
Whole house exhaust fan: Cfm(Intermittent system manual&auto controls/sone less than cc=to 1.5&(A WG)
�l Z D
INSULATION
(� -Y'---Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,cxtcnd 12"above loose fill or 6"
above bait insulation)
( y Mechanical ventilation ducts R-4(Exhaust in nunooa&tioycd space&supply in conditioned space.)
( ( � Wall insulation(above grade) R- (salt:face atapw)
( ) ( ) Wall insulation(below grade-interior) R- (Batts face stapted)
Vapor retarders on walls (Faced bat(,or 4 .it poly Ztt�paint.-&de one)
( ) ( ) Rim Joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly.)
( ) ( ) Vaulted ceiling insulation R- (Vapor retarder&1"airspace)
FINAL
/
( ( �" lq w,1n
Floor insulation R- '(Substantial contact w/surface,supports less than or=to 24"OC.not bbefcing vents.)
Ventilation system is operational(w hi s rsh air w au babiubte rooms. If integmed system,catificarion by installer is
required.)
( HVAC ducts in unconditioned areas R-8(joints sealed;Mechanically fastened with a minimum of 3 fastenem)
( ( � Pipe insulation R-3 (Hot and cold lines in unconditioned areas-service or recur.see Table 5-12).
✓Y_ SHW heaters: (NAECA label, toa gas shutoff,on R-10 if electric in unconditioned or on )
( . Heating system type: ° \)'4 � y� 1 9 Z_cz! aT2 k:"g
(� Radon monitor on site with instructions.No. - Supplied by MCBD
( Thermostat: (Hest range 55-75;AC 70-85;both 55-85. Backup heat controls(lockout)prevent simultaneous operation.of primary system•)
( � Solid fuel appls.: (Gtass/meul tight-fitting doors;dir.comb.air sours,or 4"dia.dampaed,indir.source for existing eons()
( � Ground cover: (6 mil black polyethylene or approved equal lapped 12"at joints,extend iug to foundation wall.)
( _ Penetrations(All exterior wall and ceiling penetrations sealed to drywall-plumbing,exposed beams,wall[eocplades,fans,recessed lights)
Ceiling Insulation R-3U (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. lnap-es o - 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.
t-t0 (� oar Le
v p I
nCata 1
4030 I
s03 )5
3ctD 3
L�0Zo s l
Total glazing area:
Total conditioned area:
Percentage glazing. 7..3 /D Verified:
DOORS
Plan Reviewer-List opaque doors by type(solid cone,insulated,etc.)quantity,U-value,and manufacturer. Itapsctor-
Verify door information during field inspection.
Date
Type/Quantity U-Value Manufacturer- Rev. Insp.
::�-)C) Cra Le,5S
Signature of Building Inspector: Date of Final Inspection:_____
WASHINGTON J Attachment B
�� Building Record WSEOContract# 1-1 1�
CODE
PROGRAM For Site-Built Residential Buildings Heated by Electric Resistance or Heat Pumps
WON
(please check one) (please check one)
1�4,New Building ElAddition over 500 sq.ft. ingle Family ❑Duplex
Jurisdiction: A4 ❑Multifamily ❑Zero Lot Line Home
ElPlanned Unit Development +
please check one: ❑ City County Permit# !7 06�S
File I D# (if different from Permit +
A. Site Information B. Owner Information
Address L /� U \ I �17 g �'� Owner ownerat time ofconstrudion receives utif ment
Citv e-Aen zip :i Com an
Assessor's Property Tax# or attach legal Ascription): Address
b3o
30 City o"5he /fad St at /-9 Zip
Servicing Electric Utility ULZ Phone
I
C. If Single Family, Zero Lot Line or D. Duplex E.If Multifamily(R-1)
Planned Unit Development First Duplex Unit s .ft. Total#/Bld s.
Total Conditioned Floor Area �15_ 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 Electric
❑ Electric Wall Heater ❑ Wood El Gas
❑ Electric Furnace ❑ Electric Baseboard ❑ Other (specify below)
Electric Heat Pump ❑ Other (specify below)
❑ Other
.. .i00 jj ::: . Rid .............: ...:::::.::...
WSEC Compliance Method For Heat Pump Only:
Built to the Electric Date of Permit Application � — � '
Prescriptive Path Date Building Permit Issued -3i -
❑ Component Performance Requirements of WSEC? Date of Insulation Inspection — Y ` S
❑ System Analysis ❑ Yes' No (If yes, Date of Final Inspection .
utility may er incentive.)
reby certify that this building or addition has been inspected for the measures required
the 1991 Washington State Energy Code(WSEC), that it is in substantial compliance with
WSEC, and that the WSEC checklist for this building is on file.
UL:Le
ing 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. wsE0894-015 F5 95
I1
MASON COUNTY BUILDING DEPARTMENT
1991 WASHINGTON STATE ENERGY CODE
AND
VENTILATION AND INDOOR AIR QUALITY CODE
MIDENTIAL REQ (NEW CONSTRUCTION, ADDITIONS, &REMODELS)
THE PROCESSING OF YOUR APPLICATION CAN BE EXPEDITED IF YOU PROVIDE
COMPLETE AND DETAILED INFORMATION.
YOU ARE ENCOURAGED TO COMPLY TO THE M WSEC BY UTII.IZING THE
APPROPRIATE PRESCRIPTIVE PATH FOR YOUR PROJECT. T IS WILL ALSO
HELP EXPEDITE MATTERS.
THE FOLLOWING INFORMATION MUST BE PROVIDED:
a
1) A complete window schedule must be submitted with your WSEC compliance
information, even if a window schedule is included on your building plans. Note that
sliding glass doors (patio), french doors, and any door with 50% or more glass in it is
i considered a window with the area (sq.ft.) being the entire units rough opening
dimensions. Any windows in doors (less than 50% of area) must be taken out of the
door area and put into the window area on the schedule.
This window schedule must minimally show the dimensions of the rough openings of
each window, the model (casement, horizontal slider, single hung, awning, picture,
etc...), and the units tested U-value.
2) If you are complying to the WSEC by prescriptive path and are using the area weighted
averaging method you must include your calculations (worksheet).
3) Indicate type of hot water heater, location of exhaust fans (bathrooms, laundry,
i kitchen), the location of your whole house fan, and all insulation levels (walls, floors,
ceilings, and slab) on your building plans.
4) Indicate how you will comply with the requirement for introducing fresh air to each
habitable room on your building plans (window frame vents, through the wall ports, or
an integrated system with your furnace).
5) If your home is 2,000 square feet or less, and using electric resistance heating
(excluding heat pumps) a$900.00 "Payment to Owner at Time of Construction" will be
issued from your service utility after the final County inspection has passed.
6) Using electric heat or a heat pump??? If so, you may be eligible for an incentive from
from your local utility. For more information contact PUD #3 at 426-0777 or PUD #1
at 877-5249.
i
I
i
9-9-Ml 33SM W-1 pa)dlaox3
-seugs 14)ue)p i5el 68.9ing o)Wqe>—oq F4s suondo aso41 Z
'suo�R?{!zcls s lelnPe)nuew 4 Bupl000e paUe)sw pue'asn Papuom.sy lo)PeJ pelnuew'!e!le)ew Wgs!sw-jop'JA eq Im4s uo!Mnsv!loi"axl d gels parnbeH 9
,ao!ppuoo/!e W Wgws of Pes Q to seoeds yn lwo voq j s
•04peo PONm A l9O wWU 64BUM of/!!uo Wqe?I )l w!nbeH 4
'Sb q!-P.4.ZA)110!le4el 646UIS)dWJ S&q1 le al 6pldde rlwueulboU Bt Ium j Pe APV So)a0p^W.C
• ---P.416o1 GO——U.-p-.nbeH Z
Qwega—e)elroleo Avw'Ww geualdoPOP1 ep s7usulwnbwoj-ds e4))eew)o.-4.4ie-4-pp—do)d'p°A�wwd)ae s! m-o svoPup YW-0-0Aq
que"nbw"W"myl'esue wop o41 P suay0d lwpo P iol"al 19 felgel e n'nR 1".PBas/B01 Bu!sn ews mw q smOWL—A%--pop —)do 4om lal oR
�aa8 P m!)+ad s41 Alm pl S9 s14s1 s.sn 00 H diOlcJ 1D-j l
e5E'o eoueualall,
01-8 Oea 0e13 eea 0z•0 0b'o %91 .9'6 .'uI
o1-a 0e8 ss a Apv09-a Oz•0 017'0 %91
01-8 ss-a sea APV09-8 VVO 16•0 %91 ss I
1 auoZ alew!lp
aPei;J 6u!itaJ anleA-n �IeA'tl saidJoolj Ssaul10141
uo 9geiS SZOo� yPallnM £6u11!ap sloop Burzelo %Bulzelp Bo•7 za6e�any uogdp
aouels!sau oulaap Ae BugeaH
lsluawal!nbaH angduosaad sawoH Bol!
z9 algsl o3SM wwl pald—x3
wo P 3n3V -puap.A w la 3n"ue sop—p:peW.'K'o p 3nd11 um sslawp le0'L'Mlamwb s/Ouw.JM>usu'dab3 ONAH w^WMW B
BuyP-49 um"gH WO m9elr M 400 P"R-H SWK"Amumpbw UO**u IeM sNl 8
sssl p 7GOE P sevze Oup sIB lal WnussW SYO:ssq la xsz P sewn a!nIB)01 Wnulxew OS'O'M.p seep m41 sss!Oupl q al WpDgdde eq IIKIs u-, �+allal 41 9
'Yz09 m9306 eeg'sm!lsmipeds s winpeymew al BuP)oone PW,nm pue%M p"" wl pwnpoyAmu Vgnp w welssw wpw a eq"ua!RPsal-wuft-d qep pel!nbell 9
'sm!sPuaa)A iue!4ee a Pie)o seoeds w.ea,w,o saq j g
Z zo9 uo!pw—S•suaq—weds s lenpeyrnau 0.1 W 0spoo0oe P"M—.P-,—pwuom si-1 P'^PeY"^s�I—. FW lm) —-p-a eq Wls I-OP-5
mom m p"I'll l m!MP"ia!a ep{x3' el0 eA04e W-sr pnq—wp 01 loue)ul wp uo w bl-H P lo+al..'...'.k..e 01)o*1-swa n J°W p*Mnsul sq po RM-epeA Mobs r
slk l POW-P.q--1W al"al 4-oWmjd&peuwsnb9U s
aseeJ Pswsy PaausAPV sepwp J W.'s0uxsa Ps N"—wai)o>o wbn 00—SOJ41—Pal sold*s)wuennboU z
sPe9 sly P 9 b►W0084Q
I13 laasausBduaO Asia sAoge m9d0 Peis'1 e P quaus+!r�bw ar0sds WI lssw Pwuh)PPMe suAesp Ps soda+d'(s46i4 id)0a!j&a!nsfd Xlz
«p p s}wuls+nbw ey P Is 41Ns P4s 1'%6t P ewe l00!1 ps jV-wp o1 o!yel Buzel6■se4 uB!ssp Pasadad a!'sldiR»-j•palsy uo9dO floes iol spwww nbw--umVl t
9s 3 souwelOIL
o1-a sz-a 01-a 61-13 61-8 0e8 0" 0117'0 WO %0s •paw IIA
011a sz-a 01-a 61-8 61-8 0e8 sea 01•'0 sv0 %sz 'paw �'IA
01-a M-a 01-8 61-a st-a oea 0e8 017'0 09'0 %1z MO-1 n
M-a 61-a 01-a 61-a 61 a 0e8 0ea 017'0 STO %1z 'paw :Al
Ol a sl a O1-!i 6l-a 6l a Oea Oea OYO sCO %1Z 46iH III
01-a s1-a of-a 91-8 s1-a oea 0ea 0v'0 99'0 %ZI, paw n
o1-a M-a 01-a 91-a 9Vu 0eH 0ea 0v'0 0r0 4601 paw '1
apezp aPezp apei0 apejp -3113
uo MOI013 Molas anogy £Bulb anleA-n onleA-n sauyjoo
ol3 j-111eM lu�lem IleM pallne lap Slooa Su L! %'VAH
9quIS s't° ► ► A Bull
z 128IJ Bulzelp 6pAH uo!ldp
I.auoZ slan3 ja430 Aq BupeaH
salouednaop iepuaplsaa jod 1sluawajInba8 anpduosaJd
t9 Wgsl OaSM WWI Pa)d)aos3
-B Nl-4s uleol s-H sold uo!P V-4 kuw PM 61-H-Wu°P µ---kbel uogeylsu i—sn!l 6
sssl zO 7i0E P+sale �1&1 i ursuscew zg'O:ssq l0%sz p ewe 9u!zelB lol wnuxew 5>O:swgs swap—p-4 sdu�P!s q al s!4� a sq IP4s—) Ot. pi 9,a L
•Y•z09 uo9ow es$•suap:slpedt s,--Peyrww a dsA—Ps!! —Pus'esn PAW!TOM Pa-Pey—lewiw Mle7s!sw wlere a ua su led n
sq IP„Is ptn jew �..1.¢.is Pw! bDH 9
YU01Nx—J1e P"v 4 p-Odxe M woad!)mko—"j S
-CZW uolpw SOS-mix g-ds s,lwr4ow—e4)01 Bu P—PW P44 Pa'—P"-m s)!lal P 1s!wlnd lue{s!sw K¢M a sq g1�rys Hey.
epel6 Aloleq m Dstlslsul uo9epuy +p3'W-+B e"ags gpnA se p/q sues wp q lo!lerq s41 m la'Ol-H P MAM uxsuuw a of laalee ey1 uo)wp!e peRM l sq"V-s'Pei6—"Y
sQulw pepneA ls!a(la-IW el"of Al—elgs 01a It--nbeH s
'�!t°J Pp++s�J Paauv'Pr wpiwp JWIr.'sBuPsO vwrreA 1s!ol»wyn e►Oulspsoxe s0uywo tle q«gddr►)wwnnbw Z
'spot syl P 9 a y sle)dn1�.fq eourlduoo epyo!a�,(sw'sAOge uoedo Pets!e p sµwueMnbw°!Bonds w{t Pwu puueo)p!)M w4sep pasod0ld•(lsyB!y lo)uo9do dea)8 xlz
slN P quouaol!nDez wp p Us 4EM��Is`Is 1'%61 P swe laWl pw+grpuoo e4l q q>sl Bu!a!B•ssy uAsep pesodod a!' �aJ•DsImJ uapo 4xo x>i quwuanbw unwN�yl 1
OVH 0e8 01-8 lz-H 99-8+6l-a OS-H Sea Oz'0 6Z 0 460E �-IIIA
01-8 0e8 0l-8 1z-a es-H+sl-H 0s-8 sea OZ-0 - Zs,o %sz 1 nn
01-8 oea 01-8 tz-a tz-H OeH ss*a oz,0 9s,0 %lz In
01-8 oea 01-8 1Z-8 1Z-H 06-H sea OZ•O 6s•o 1/681 n
of-H oeH of-a st-a s1-a os-a sea ozo ovo %41 .nI
01-8 oeH 01-8 2-H tz-H Os-a sea or"o OVO 1/21 111
01-H OeH Ol-H 6l-H 61-H OE-H 96-8 OZ'O EVO /.ZI. II
0l-H Oe-H O1-H 2-H 1 Z-H 06-H eeH 0D 0 9D 0 %Ol !
apezp
apez0 apez0 Molag Molag apejp e6ullp3 anleA-n anIBA-11 eajy scold
uo 9geIS sz0ol3 y1X 11113M ylulmum -Oqv IIeM pal!neA z6alllaoo Snood 6urzelp %Bulzel0 uopdo
1 auoZ aouelslsaa ouloal3 Aq BupeaH
salouednoop lelluap!say loj lsluaLuailribaa oApduosaid
r
00
MASON COUNTY BUILDING DEPARTMENT
1991 WASHINGTON STATE ENERGY CODE
AND
VENTILATION AND INDOOR AIR QUALITY CODE
OWNER �lty,u-(0 0ZnSfruCK(k1 TELEPHONE Y3(a- q(014,�
COMPLIANCE INFORMATION
TYPE OF PROJECT: 0 NEW RESIDENCE()ADDITION()REMODEL()OTHER
AREA(SQ.FT.) IST FLOOR _ 2ND FLOOR HEATED BASEMENT
Note: Heated basements must be insulated and finished to meet,minimum energy code requirements.
TOTAL SQUARE FOOTAGE OF CONDITIONED (HEATED) AREA
COMPLIANCE METHOD:
() PRESCRIPTIVE PATH -- circle option— I II 7111 [V V VI VII VIII
Glazing percentage /3 (total glazing area divided by total conditioned area)
() COMPONENT PERFORMANCE — Chapter 5 — attach documentation and worksheets
() SYSTEMS ANALYSIS — WATTSUN 5.2 — attach documentation and worksheets
WATER HEATER
Electric water heater () Gas water heater
HEATING SYSTEM:
ELECTRIC RESISTANCE
() Electric Central Furnace () Electric Wall Heaters () Baseboard Units
()Radiant Panels () Other
R FUE
Heat Pump with electric furnace () Heat pump with gas furnace () Gas Furnace () Oil Furnace
Other () Boiler System ('indicate type)
Make -a Ec rr i Cr' Model 3T 5/MC..o 3 CD
Size a.S AFUE HSPF �. a
VENTILATION SYSTEM: 7. ?
Spot and Whole House () Central Ducted System () Integrated with Furnace
() Heat Recovery System (air to air heat exchanger— heat recovery heat pump)
GENERAL NOTES:
Your building plans should indicate certain compliance measures: framing to be used (standard,
intermediate, advanced); type of vapor barriers being used; location of furnaces, hot water tanks and
other equipment; location of solid fuel burning appliances, fireplaces and their combustion air duct runs;
and termination points of exhaust ventilation fans.
WINDOW & ,.DOOR SCHEDULE
GHQ h 64'-c /0 - � L o E-
WINDOWS kv61r's f ( )4;t,p /41S7o 41� i 3�� '•� u= .39
INCLUDE ALL WINDOWS, SKYLIGHTS, SLIDING GLASS DOORS, FRENCH DOORS AND
STORE DOORS. ANY WINDOWS IN DOORS (LESS THAN 50% OF AREA) MUST BE
TAKEN OUT OF THE DOOR AREA AND PUT INTO THE WINDOW AREA ON THE
SCHEDULE.
BRAND MODEL U-VALUE QUANTITY SIZE TOTAL SQ. FT.
Morits a.o
Ca"4 Aire- , Lc-7 030
ve lu- �s �s-a ,as I Ll°a°
.� 7
TOTAL WINDOW AREA 7 9 5
DOORS
BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT.
TOTAL DOOR AREA �� 07
E'VANS & WAITE 360427.5265 P. 01
MASON COUNTY
BUILDING INSPECTION REQUEST FAX FORM
TO: MASON COUNTY BUILDING DEPARTMENT q '- z7
Z__'
426 WEST CEDAR, SHELTON, WA 98584
FAX # 427-7798
FROM: COMPANY NAME: EVANS & WAITE CONSTRUCTION
CONTACT NAME: PAIGE
PHONE #: 426-4662
FAX #: 427-5265
TODAY S DATE:
NAME ON PERMIT: P_VG'r'S
SITE ADDRESS: f teS_3
PERMIT NUMBER: BLD 95
TYPE OF PERMIT: S�(2—
DATE OF LAST INSPECTION:
TYPE OF INSPECTION:
FOOTING WALLBOARD NAILING
FOUNDATION/STEM WALL FINAL (U - tvN��c--t
SLAB INSULATION MOBILE FOOTING
SLAB ROUGH-IN PLUMBING MOBILE SET-UP / -
FRAME/PLUMB/MECH/PEN MOBILE FINAL ' S .4
INSULATION WOODSTOVE '` �
HOLES OTHER
**REMINDERS**
POSTED ADDRESS, APPROVED PLANS AND PERMIT CARD(S) ARE
REQUIRED ON--SITE, OTHERWISE A RE-INSPECTION FEE OF $30.00
MAY BE ASSESSED.
ELECTRICAL MUST BE SIGNED OFF BY LABOR & INDUSTRIES PRIOR
TO F/P/M INSPECTION.
L61Lk
Plumbina Fixtures ($3 eachl Fee Mechanical Fixtures ($6 each)
No. Toilets -0 O CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins U Heatpump Other
Bath Tubs 3. oo No. Units Fees
I Showers 3.Uo 1 Furn BTU 00
i
1 Hot Water Htr .3- J 1 Heatpumps
Laundry Washer 3,y y Vent Systems
I Sinks 3 00 Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins HP
1 Dishwasher 3 0 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 $14S.c)L No Other
Gas Outlets
I oo , 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 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 �QCGvI G� A
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
I
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
AVI
Environmental Health: I
Building Plan Review
ot
Occupancy Group: K--�) Type of Const:Vn
Fire Marshal:
Other:
i
Special Conditions: FEES
Building Permit Ab�
Plan CheckI
Plumbing Fee L t S Q
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor 00
Violation Fee
Site Inspection
Building State Fee L`
Other f'L
Other
Building Valuation: TOTAL FEE ��
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
WatE_ '
Draii
Sept
Pror
Narr
Narr
APF
3 GC'_- _
i
\00� RAOWS- 1
i
0.ES\Os Nc�
APf
G(LVSl�ED
�OGK
—- -- -
-E7 5-� J L N 5 F N CZO AD
� �.T E- 0 N Y,
1
Permit No. VdC6- 6645
MASON COUNTY
BUILDING PERMIT APPLICATION j�q
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 j�V�'
PLEASE PRINT 3 0
#1 wner S ��-+ e/L-5tr-c, C�yn Phone# yam'q6p 4o
to Address E- /lr.5D J.�e RcP, �/ie_R Fire District#
ity 5ku-1 dV r St Lv/� Zip is ss"
Directions to Job Site &Yorkd&h kooc J to
Owner Mailing Address J0 gv 2d3�
City 5W h— St6A2� _Zip gfsyw
Lien/Title Holder <C4 <cr►�
Address /o,l wee Sfi
Clty A-tJ b'-\ Zip r7s-S�rS/
#2 Contractor Name Wcu 5 g 'J— 7 ,Co or R
Address d BtlK o 30 Expiation Dat
/�—
city St &J6 Zip lk�l done# 4�-g4p4pQ
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well ��u -7 �`� `�
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 No.3a 13 0 - -75 'Jc/ 3 a
Legal
Legal Description Lot B o 5hdrf Subdiyi��o� 79l�
#5 Building Square Footage: (existing/proposed)
1st FI / �Il 5�a 2nd FI / 3rd FI / Loft /
Basement / Deck / /3g #bedrooms / -8 #bathrooms / a
Garage / 3 S Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 of building S F i2- Describe work
00-
&nSfr"c�( nd-cam AZ n-L/—
#7 Type of Job: New_x_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