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BLD93-00712 Cancelled SFR - BLD Permit / Conditions - 10/21/1997
MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 N:::N 1'1: P4 N:l 1::� H:::. 1;" FOR INSPECTIONS CALL 427-9670 BETWEEN 5pm AND Sam 427-7262 BL093-0712 PARCEL : 321307590131 PLAT DIV: ? BLK : ? LOT : ? JOB ADDRESS : E 1680 JENSEN RD SHELTON OWNER : KENNETH POTTS CONTRACTOR : LEGAL : CLASS OF WORK NEW BEDR : 3 . BATH : 2 ITYPE ANOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPTI TYPE OF USE . . . . : SF STORIES . . . . . . . : 0 OCCUP . GROUP . . . : ? B L 0 G . HEIGHT . . : 0 . Ott PRAT $ 405.01 CPH 06123193 33014 STFE Z 4.50 CPH 0 6/2 3/9 3 33014 TYPE OF CONST . . : ? FIREPLACES . . . . : 0 R A 0 N $ 8.01 CPH 06/23/93 33014 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 PLCK Z 262.50 CPH 06(23 93 33114 DWELL . UNITS . . . . : 0 PARKING SPACES : 0 P L N Z 60.00 CPH 06 23J93 33614 INSPECTION AREA : 2 SHORELINE?. . . . : N NCH Z 57.00 CPH 06123 93 3 38 14 TOTAL: 737.10 VALULATION: 83194 SETBACKS-------------- TOILETS . . . . . . . . . . : 3 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME-- FRONT . . . N 120 . Oft BATH BASINS . . . . . . : 4 : /ELE/ / / : 0-3 HP . : 0 REAR . . . . S 5 . 0ft BATH TUBS . . . . . . . . : 2 3-15 HP . : 0 MODEL : ? SIDE (1 ) . E 30 . Oft SHOWERS . . . . . . . . . . : 1 FURN < 100K BTU : 0 15-30 HP . : 0 -MAKE------ SIDE ( 2 ) .W 30 . 0ft WATER HEATERS . . . . : 1 FURN )=100K 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 . . . . . . : 1 ? LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 2 EVAP COOLERS : 0 LENGTH : 0 BUILDING . . . : 1957sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 4 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT . . . : 0sf LAUNDRY TRAYS . . . . : 1 DOMES . INCIN : O -SERIAL#---- DECKS . . . . . . : 150sf DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS-- COMML . INCIN : O ? GAR/CARP : G Osf 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 L0CATION:GO JENSON ROAD FOLLOW ROAD PAST BIRD EARN, ACROSS CREEK AND ON UP TO THE TOP OF THE HILL. AT THE TOP YOU WILL SEE A NEW HOUSE ON THE RI6HT. NEXT YOU. WILL SEE A ROAD ON RIGHT THE PROPERTY IS ON THE LEFT OF THAT ROAD. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT CONNENCED WITHIN 181 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD OF 181 DAYS AT ANY TINE AFTER WORK IS C 0 9 N E N C E 0. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPEITION WITHIN THE 181 DAY PERIOD. FINAL INSPECTION MUST BE APPROVED BESORE BUILDING CAN BE OCCUPIED. OWNER OR AGENT: � '�ir�Od �� DATE: 1 MASON COUNTY PERMIT At� NULL iD BY EXP RA (ON Mason County Bldg. III 426 W. Cedar � P.O. Box 186 Shelton, Washington 98584 DATE BY 1 .i IP4 t'w 11 lt�tl 11t�l�{iF :�'; 1.6" UNtil-N Rill ',14ft' lON M A N I li [r`k N N t'V 1-f p o i 1 .'i F1N I VI IL �,�� t . to t:l�ti f� i I'd�, • 0 tR 1 t. 1;01 11 1 tt t '1 .IS ;0 0 1 klfl 11 1, HI h } I I t f tdf 49 0 1 ? t l ft 1 fit taut A h I I It IN �r� Nitta- t !t LNG, . L '<', ;' •t i IJ#; ! 11f I Y�'.Z 1 i�;!t,1 wn hcA": I NI N 1 0•, t I titltVill' i 4 '. I'N I It 3 t� t)F r K`, 1 ',4+..; 1 It f`,Iit;•1!5`,Itt �frir, 1Ft 114 , 0 �F4liAkd /i t0ir1` : t, t+., l (�tA1'rt 11 # i, t Ft+ i l f #��t V.11 i•� i1 1 ;t # tlj< # iVt11 ,;, ,., ,� � #It Vc 111•.i # t;� f,1 fA 1 1 1 I?1 1' +11I 1 1 y; :anwri>�::L-:azza�-sxz.��cc4::�c=� >::.r-�^a-�.i-.:.•�r-.�s.:�.ag�_,-�,:,._.,>:-_,:_��. ..;:.._T.. -..i ..,_.�a.,,,. ._.,.�, -,...,, -4103€0 uf5iri[1'flt'N k1SItfNCf PA9kECT IDCAIIIIN'td RNSON k0AD fLtltow kOAD PAST fIIRP fARlk. A(18)'. (41f1 ANit nil tl;, IN 11?1 1141' ttf HI( Ail ! At IHi 10, N .t} '.tf it Nfw Hittl:t i!N 141 R16H1 401 YAII Will, SH A 46AD UN 81f+N1 till FRBVfW V. (tN 1Hf Iffl oi, IHAI AAAN Ms PE4411 BICONt3 NIHI AND VOID I[ hook OR f.9NSTk0(fItON AvIlloklltu I% out i,NANEWO wiftilN 1s# ow, op If i.aNSIRU(.IION t1k wok 1'S ',Wptolto to, A YIk.IRI) of 180 Wil AT ANY IINt. r:tltk WOPI Is (UANtAtfU• tV18ENt1. Of t.t)NfINUA�lfall bi N6kI I'l A P6u%kl ,�; iN'=f'ftll(!N miiwilf flit 1811 ftAY PtklUb. ilNAf 10,41 llaN N(t5i tit AAPROYfN 8H0f 11"H0106 i11N 0 It't:t±Hflj' OWNER Ok AhiNl . 'C ��_�d � �! f r.a �-tI� a.�. f�., 1tAIf r ` CONCRETE WO ,._ MOBILE HOME Footings-Setback date by l Ribbons date by L{.-)`� Gas Piping I date 'b Foundation Walls date . by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls f Yavtf FIRE DEPT. date 3 by date by PLUMBING date q-�(�-cj3 by OTHER Groundwor Attic b date by date D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by r - J Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: BLD93-0712 KENNETH J POTTS E1680 JENSEN RD SHELTON 06/23/93 No. Cond Title Wording of Stat Stat Stat Update Upd Code Condition/correction Date By Date Date --- ---- ------------------------- ------------------------------------------------------------- ---- -------- ---- -------- ---- 1 5001 Flammable & Combustible The use, handling and storage of hazardous materials or / / 05/24/93 MMS Liquids flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X P 'a),(-, , 2 1002 POST ADDRESS PURSUANT TO 1991 UNIFORM BUILDING CODE, SECTION 305(C) AND / / 06/14/93 TLG 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 C' M .C 3 5020 Slope Setback Placement of structure must comply with standards setforth / / 06/14/93 TLG per UBC sec. 29L7regarding descending and/or ascending slopes. X /� , MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 4R7••9670 CORRECTION NOTICE Job Location --!s ef'L !Z�,A ZZ!5 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 c ��'r- i ` I�S�J✓/FYI I�7nL ��-`; C-� r./1 cs,�S l)ooQ- 1 S<1ie--Er j)�j t I DDLJ"( � - � (T 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 ❑ OK to Department Date ` l Inspector ■ so 4 No VT Mo *V Date Checklist Prepared � a l q MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1991 WSEC AND V&IAQ CODE COMPLIANCE Permit Number 33- 07Q Address A--- J65PO Jensen 1�o4 d Sq. Ft._/RS7 Name on Permit_ -P07'TS AenA-V4k Contractor/Phone #_'�r.(0�3 I^1_ e�,T_ '�0.7-(DWO Compliance Method: ( ) Prescriptive (option) ( ). Component Systems Analysis l,J#-rrso of b7 Fo er- Date FOUNDATION Insp. Rev. ( ) ( ) Slab: R- (Ext.foundation down to frostline/slab bottom;or interior 24"top of slab&horizontal. Radiant under entire.) ( ) ( ) elow grade exterior wall insulation: R- ( ) ( Crawlspace ventilation: /O " (—L (1 sq.ft.t[WI50 sq.ft.floor area-cross vented) /StJ FRAMING 2.t,S,ilr,4e*t 1feti.dect - CPp ^ carnet ) Standard ( Igtermediate ( ) Advanced ( Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.) ( ( If---Standard air seal: (Bottom plate/subfloor,rim joist/mudsill,window/door frames,penetrations condition to non-condition.) ( ) ( '�)/Attic ventilation (I sq.ft.)EA/150 sq.ft.ceiling area) ( ��F I.exhaust fans: (4"exhaust-ba(h/laundry 50 cfm®.25 WG;kitchen 100 cfm 0.25 WG. Vented out with dampers.) h air ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.) rnl n. J sr�e CIS do p/an ( ) ( ;----Whole house exhaust fan: cfm (Intermittent syste manual&autb con(rols/sone less than or=to 1.5 at.1 WG) INSULATION -Y ( TAttic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose rill cc 6" ( tve but insulation) e'chanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.) ( ( Wall insulation (above grade) R-�_(Bats taus stapled) ( ) all insulation (below grade-interior) R- (Batts face stapled) (') ` apor retarders on walls (Faced bait,or 4 mil poly or perm paint.-circle one) ( ) tm joist(Insulated with vapor retarder-rigid foam and caulked or 4 rnil poly.) r ( aulte ceiling insulation R- 8 (Vapor retarder&1'air space) i JStJ r . FINAL are4�S — ve,4eJ( 5 onve i4ea i oor insulation R- �0 (Su stan(ial con(ad 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,ecaificatiou by installer is required.) } ( ) HVAC ducts in unconditioned areas R-8 (loins seated;mechanically fastened with a minimum of 3 fasteacm) '( ) ( �)�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.) (--Y__Headng system type: _ ec�/i`L - z?p�14 t ( ) ( - ----Radon monitor on site with instructions.No. - Supplied by MCBD r ( ) Thermostat: (Ilea(range 55-75;AC 7M5;both 55-85. Backup heat controls(lockout)prevent Simultaneous operation of primuy system) ( } ;dir.comb.air source,or 4"dia.dampered,indir.source for existing coast.) Solid fuel appls.: (Glass/metaliight-fitting doors round cover: (6 mil black polyethylene or approved equal lapped 12"at joints,extending to foundation wail.) Penetrations(All exterior wall and ceiling penetrations sealed to drywall-plumbing,exposed beams,wall receptacles,fans,recessed lights.) Ceiling Insulation R. (Insulate&weatherstrip access,bafne to prevent spillover-no cardboard) } ( ) Vapor retarder paint if a vapor retarder was not installed when insulation was installed. v ` GLAZING t� • Plan Reviewer-F11 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 glazin on this form. Use rough opening area for calculations. P12C-s : . 3Z X() S . 3(o S 'J = • 3 q Date Size Quantity Area S . Ft. U-Value Manufacturer Rev. Ins . r y p 3 O j .2y , o fG� I-- �� y5iA, D SO rNS 7S t � � ,3 6 P 1 '� t" Z c7 s � -/1 ` /J r D Ord 0 34 vo c✓ p 1L p _ v So y © �O/ yo xLO :P:2C / �o Sln PZC- XV '9 p 3 y C7 XO IZ Total glazing area: Total conditioned area: Percentage glazing:-� Verified: DOORS Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. Impactor- Verify door information during field inspection. Date Type/Quantity U-Value Manufacturer Rev. Insp. 6 V3 o � ° A Signature of Building Inspector: Date of Final Inspection: STATE OF WASHINGTON `* DEPARTMENT OF HEALTH WATER BACTERIOLOGICAL ANALYS SAMPLE COLLECTION:READ INSTRUCTIONS ON BACK OF GOLDENROD COPY H Instructions are not followed,sample will be rejected. DATE COLLECTED TIME COLLECTED COUNTY NAME MONTH DAY YEAR l ❑AM PM �0 TYPE OF SYSTEM IF PUBLIC SYSTE ,COMPLETE: ❑PUBLIC CIRCLE GROUP INDIVIDUAL LD.No. A B (serves only 1 residence) NAME OF SYSTEM SPECIFIC LOCATION WHERE SAMPLE COLLECTED TELEPHONE NO. w d K DAY EVENING g6Id 3 SyS- SAMPLE COLLECTED BY:(Name) SYSTEM OWNER/MGR.:(Name) k, i SOURCE TYPE ❑GROUND WATER UNDER SURFACE INFLUENCE ❑SURFACE (WELL or ❑SPRING ❑PURCHASED or ❑COMBINATION WELL FIELD INTERTIE or OTHER SEND REPORT TO:(Print Full Name,Address and Zip Code a k-¢ 4 pa/ /s � �� t�011u n /—r-a r WASHINGTON TYPE OF SAMPLE(check only one in this column) ROUTINE DRINKING WATER ❑ Chlorinated((Residual:_Total_Free) check treatment ❑ Filtered i ❑ Untreated or Other ❑ REPEAT SAMPLE .. l Previous coliform presence Lab 0 I .ii 1001. Date ❑ RAW SOURCE WATER Source r Fs] ❑ Total Coliform ❑ NEW CONSTRUCTION or REPAIRS ❑ Fecal Coliform ❑ OTHER(Specify) REMARKS: O (LSAB USE ONLY)DRINKING WATER RESU ❑ UNSATISFACTORY,Coliforms present SATISFACTORY, Col'rfortns absent t REPEAT ❑ E.Coli present ❑ E.Coli absent A SAMPLES Fecal resent Fecal absent REQUIRED ❑ P ❑ OTHER LABORATORY RESULTS TOTAL COLIFORM /100 mI E.COLT /100ml FECAL COLIFORM 1100 d PLATE COUNT /ml ANOTHER SAMPLE REQURED SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE: ❑ Sample too old ❑ Confluent growth ❑ Wrong container r' ❑ TNTC ❑ Incomplete form v ❑ Turbid culture ❑ ❑ Excess debris SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LA9 NO.(7 DIGITS) DATE,TIME RECEIVED RECEIVED BY 8�a -d3b 3 DATE REPORTED LABORATORY:. �A REMARKS DOH N6-002(REV."2) 1NATFR SUPPI IFR COPY Koj f OTr-s F�OPep-ry D 1 izEC7— A L CA c.t s 7_0 ego& WALJ FA Rc�� 3zl�o ,F. L6T� sP �9� 3a-zt-3 P� 1 RpK Apppo sFR Agh a. O� A � a <<dl N 418.89' v Sli4 418.89' 5 ,, i w + ?� PD�NT-y_���AS A 5LvP " NE`� ` Parsons o: ifrucEion �a P. 0 A., 921 J�e�fon� !/V.. 98584 . # 427-0960 . Date Checklist Prepared a 4 MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1991- WSEC°,AND V&IAQ CODE COMPLIANCE ermit Number 0712 Address Sq. FL qS7 came on Permit -PC 7%S X2nne4h Contractor/Phone # ';,Z7-056o -ompliance Method: ( ) Prescriptive (option) ( ) Component Systems Analysis W�-rTstJ of �y ate 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: ICC b� " to- 7/0 0 sq.ft.NEA1150 sq.ft.floor area-cross vented) S� FRAMING ( �( ) =n,S�lg3e.( Standard Ifetidus _ O�q� cdrnul (�tennediate ( ) Advanced ( ) Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.) ( Standard air seal: (Bottom plate/subfloa,rim joist/mudsill,window/door frames,penetrations condition to con-condition.) ( -Y---Attic ventilation (I sq.ft.tjawo sq.ft.ceiling area) ( �1/�Jpot exhaust fans: (4"exhaust-ba(h/laundry 50 cfm 0.25 Wp;kitchen 100 cfm®.25 WG. Vented out with dampers.) ( J Cresh air ventilation: Available to all habitable rooms. Installed and operational. (integrated forced air,windows,wall ports.) ( Whole house exhaust fan: cfmM(intiedi, Vrmittent� S e" dye -A'" systeen manual&autb con(rols/sone less than or=to 1.5 at.1 WG) INSULATION ( Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6" ( mve bAtt insulation) echanical ventilation ducts R4(Exhaust in unconditioned space&supply in conditioned space.) (—)Wall insulation (above grade) R- ;), I _(Batts race stapled) ( ) all insulation (below grade-interior) R- (Batt,face stapled) ( Vapor retarders on walls (Faced bats,or 4 mil poly or perm.paint.-circle one) ( im joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly.) ( Val ceiling insulation R- 3 (Vapor retarder&1"air spare) FINAL ( voor insulation R- Su stantial contact w/surface,supports less than or=to 24"OC,no(blocking vents.) entilation system is operational (spot,whole house,fresh air to All habitable roams. 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 recut.see Table 5-12). ( - S HW heaters: (NAECA label,separate power or gar shut-off,on R-10 pad if electric in unconditioned a oa concrete.) (—Heating system type: / . —/�,`c — .�,�Q ( -�/Radon monitor on site with instructions.No. - supplied by MCBD ( ) T CMOStat: (Ilea(range 55-75;AC 70.85;both 55-85. Backup heat controls(lockout)prevent simultaneous operation of primacy system.), ( ) Solid fuel appls.: (Glass/metal light-fitting door;dir.comb,air source,or 4"dia.dampertd,indir.source for existing consQ ( —Y-�—Ground cover: (6 mil black polyethylene a approved equal lapped 12"at joints,extending to foundation wall.) ( - --Penetration's(All exterior wall and ceiling penetrations sealed to drywall-plumbing,exposed beams,will receptacles,fins,recessed lights.) ( -)-___CCiling Insulation R- 41q_(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 glazin on this form. Use rough opening area for calculations. }�-20S=.. , �33 X()�S ..,a... 3 C S •J 3 q' Date Size Quanfity Area S . Ft. U-Value Manufacturer Rev. Ins . y C 3A n O /� -2 5 o P--j C �S 7S i 3 6 P I 3 AI�rw��e� .2D QCd 10/ yD 449 <Ir-,) 1r p So yoX0 .210 yo xv % �o zC- �5 - ►—.2- 4 J-1.s 1 zc i l fl W / S o xo 1 0 X0 (Sr') I �9 S 12 Total glazing area: yt Total conditioned area: Percentage glazing:_2 0% Verified: DOORS . 211n Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. Impector- Verify door information during field inspection. Date Type/Quantity U-Value Manufacturer Rev. Insp. 6IV 79 ° AR 4 ro- d@Jr Signature of Building Inspector: Date of Final Inspection: -WATTStJN-5.4 - 1991 WA, STAKE ENERGY CODE COMPLIANCE REPORT 06/10/93 FILE: C:\\WA'rl-SUNS\\P&MPOTTS.WS HOUSE: ID: PUTTS RESIDENCE Site: Ana ly-s tFOSTER-ANE:J�W I Ll_I A.MS______..._ Jurisdiction: MASON COUNTY ( ) - Utility: PUD #3 Homeowner: PUTTS RESIDENCE:. House Type: Single Family Floor~ Area: 1957 ft2 Bu i l der•: PARSONS AND MEYERS Weather Data; Olympia, WA Climate Zone: 1 The PROPOSED design *COMPLIES* with 1991 WA. State Energy Code. I I REFERENCE PROPOSED COMPONENT PERFORMANCE 319 322 Btu/hr.-F ENERGY BUDGET 3.91 3.85 kWh,/ft•2-yr I REFERENCE DESIGN Reference Coapo-rent Value X Area _ UA ------------------------------------------------------------------------------- Floorr U-0.029 1316 38.2 Glazing @15% U--0..400 293.5 117..4 Doors U-0.200 40.0 8.0 AG Wall U.._0,058 1982 115 .0 Ceiling, Attic U-0.031 1316 40.8 Infiltration ACH-0.350 15656ft3( 100.3) --------------------------------- Reference UA. 319 -------------------------------------------------------------------------------- PV.ZOP(r-.-,ED DESIGN COMPONENTS Component Description Va l Lie X Area = UA Floor... R30 vented Joist 16oc U--0..029 1004 29.. 1 R30 unvented Joist 16oc U-0.029 312 9.0 Glazing @19% **Mil gird Vinyl ,#5320, Fxd. AR./LE U-0..330 19.. ..a 63.9 **Milgarcl Vinyl ,#`:,120, H. Sl . AFi,/LE U--0.360 1' 5 45.0 **Milgard Vinyl ,#5220, S.H. AEA;/LE U--00 0 40.0 15.6 lorwest.er Fr.. Dr.. U- .250 21 .0 5.3 Doors **simpson wood U-0.. (. 21 .0 7.6 � i Items in parentheses not included in COMPONENT PERFORMANCE totals. ** Denotes non-standard values - check calculation of thermal value.. Page I i WATTSd14 5.4 1991 WA STATE ENERGY CODE COMPLIANCE. REPORT 06/10/93 FILE: C:\\,JATTSUN5\\P&MPOTTS.WS HOUSE ID: POTTS RESIDENCE Wood 1--3/8" solid flush U-0 .390 19.0 7.4 AG Wall R21 1 r 4 T f_as-y Wood U--0.054 1896 104.4 Ceiling R.49 blown Attic STD baffled U-0.027 1140 30.8 R38 blown Scissor 5: 12 STD baffled U-0.035 176 6.2 Infiltration Standard Air Sealing ACH--0.350 1565603 (100 .3) Proposed UA. 322 Struc Mass Light Frame, Sheetrock: walls M- 3.000 1957 5871 -------------------------------------------- HEATING/COOLING/VE=:NTILATING SYSTEMS PROPOSED Heating System Type: Electric: Zoned System Efficiency: 100 % Modified Efficiency: 100 % Design ACH: 0 .60 Design f..oad(at 53F dt) : 26185 Btu/hr Total Load: 26185 Btu/hr System Size: 11 .5 Q (150%) Average Annual Heat: 10925 kWh Annual Cost: $ 601 Ventilation System: Integrated Spot I & Whole House Cooling System: SEER: 0.0 () Cooling Load(at 5F dt) : 22959 Btu/hr System Size(%Over) : 2..7 tons(@125%) Annual Cool Requirement: km-l/yr" I Solar Access: Partially Shaded � -------------------------------------------------------------------------------- GLAZING ORIENTATION PROPOSED PROPOSED South 1115'oft ±2 North 81 .002 Southeast 10.0 Northwest 35..0 East 90.0 West. 103.5 Northeast .. 30.0 Southwest;. 15.0 -------------------------------------------------------------------------------- �EconomicYand�energyr�consumption estimates�are wdesigned for„Mcomparative�����M� purposes only.. Actual cost, for heating will vary depending on weather ^ruWti•I-7r,i-,= nrri iriAn•I- 1 i'f"ac:'f'111p r'1-Y1Pi Cat"E"lpr factors- .._...._-- WATTSUN 5.4 1991 WA STATE ENERGY CODE COMPLIANCE REPORT 05/07/93 FILE: C:\\WATTSUN5\\P&MPOTTS.WS HOUSE ID: POTTS RESIDENCE Site: Analyst: FOSTER AND WILLIAMS Jurisdiction: MASON COUNTY ( ) - Utility: PUD #3 Homeowner: POTTS RESIDENCE House Type: Single Family Floor Area: 1957 ft2 Builder: PARSONS AND MEYERS Weather Data: Olympia, WA Climate Zone: 1 The PROPOSED design *COMPLIES* with 91 WA State Ene y Code. REFERENCE PROPO ED COMPONENT PERFORMANCE 310 318 to/hr-F ENERGY BUDGET 3 .74 3 .55 Wh/ft2-yr REFERENCE DESIGN R fere ce Component Valu X Area = UA ---------------------- ----- ----- - ------ ----------- --------------------- Floor U-0 029 1316 38.2 Glazing @15% U- .400 293 .5 117.4 Doors U 0.200 61. 0 12 .2 AG Wall -0. 058 1741 101.0 Ceiling, Attic U-0. 031 1316 40.8 Infiltration CH-0.350 15656ft3 ( 100. 3) ---------------------------- Reference UA 310 ------------------ ------------------------- ----------------------------------- PROPOSED DESIGN C MPONENTS Component De cription Value X Area = UA ------------------- ------------ -------------------------------------------- Floor R30 v st 16oc U-0.029 1316 �L-38.2 Glazing @18% **Milgard Vinyl, #5320, Fxd. AR/LE U-0. 330 177 . 0 58.4 **Milgard Vinyl, #5120, H. S1. AR/LE U-0. 360 125.0 45.0 **Milgard Vinyl, #5220, S.H. AR/LE U-0. 390 40.0 15. 6 / **Milgard Vinyl, #5420, Awn. AR/LE U-0. 360 20. 7.2 ✓ Doors **simpson wood U-0.360 61. 0 22.0 AG Wall R21 INT Lap Wood U-0.054 1673 90.3 -------------------------------------------------------------------------------- I Items in parentheses not included in COMPONENT PERFORMANCE totals. ** Denotes non-standard values - check calculation of thermal value. Page 1 WATTSUN 5.4 1991 WA STATE ENERGY CODE COMPLIANCE REPORT 05/07/93 FILE: C: \\WATTSUNS\\P&MPOTTS.WS HOUSE ID: POTTS RESIDENCE -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Ceiling R38 blown Attic STD baffled U-0. 031 1156 35. 8 R38 blown Scissor 5: 12 STD baffled U-0. 035 160 5. 6 Infiltration Standard Air Sealing ACH-0. 350 15656ft3 (100. 3) ---------------------------- Proposed UA 318 Struc Mass Light Frame, Sheetrock walls M- 3 . 000 1957 5871 -------------------------------------------------------------------------------- HEATING/COOLING/VENTILATING SYSTEMS PROPOSED Heating System Type: Electric: Zoned System Efficiency: 100 % Modified Efficiency: 100 % Design ACH: 0. 60 Design Load(at 53F dt) : 25971 Btu/hr Total Load: 25971 Btu/hr System Size: 11. 5 kW (150%) Average Annual Heat: 10074 kWh Annual Cost: $ 554 Ventilation System: Integrated Spot & Whole House Cooling System: SEER: 0. 0 () Cooling Load(at 5F dt) : 19598 Btu/hr System Size(%Over) : 2 . 3 tons(@125%) Annual Cool Requirement: *** kWh/yr Solar Access: Partially Shaded -------------------------------------------------------------------------------- GLAZING ORIENTATION PROPOSED PROPOSED South 146. Oft2 North 30. Oft2 Southeast : Northwest : East 107 . 0 West 79. 0 Northeast Southwest -------------------------------------------------------------------------------- `t Economic and energy consumption estimates are designed for comparative purposes only. Actual cost for heating will vary depending on weather conditions, occupant lifestyle and other factors. Project: WINDOW SCI- EDULE WINDOWS i M ail U-vALUE =Akt. SIZE ,4 (sQ. I=td i Nth f= m- Lc Zv i lint A 3,So 170 I, 3Q i L -r, AV- cz -3 I1 i��t 2-6 1 3-1° 12 t 2 �4° Iv S c.E .3 H1l Z�S� 4L !i I, A-� kz .3C. / Zb 5 ZO 2-7 TOTAL WINDOW AREA -3&2 SKYLIGHTS _ � "OkEL •il U-VALurz dJANt, 61= AgsA (sa. r-t.) TOTAL SKYLIGHT AREA DOORS MRAND Hopt=L twompw UvALur= ajANt 61ZE d A (sa. eta ,oil 3C,el$ Z u .b19 'b 6 8 TOTAL DOOR AREA 1 l�l��,,// og T'IOOr, c{ta-q 'Ft 42V%C,h z4o" •J z S2� -2-P W;'ndawS 2171 l S r� Y 3 / , � 7 y6 3 2.S 13. 5 3 3 �y 1��7. s � g = ll �a 7 � WASH. ST. TAKEOFF SHEET PROJECT: _PcS- - ---V sQ� - y - ------ DATE:—�Lt� Meet Perscriptive Requirements: Y /(F) Number of Bedrooms: Wood Burning Appliances: Y / Heating System/Fuel Type:__j=_�- FLOOR: Area R-Value A. WINDOWS: (BRAND)j-11L- ,�c Area U-Value B. V.C. 19�,-r,,, D. -------- - - --E. Fg. F. DOORS: (BRAND) Area Area U-Value B. TD UA,cz.ac-E�, Iq SKYLIGHTS: Area U-Value A.-lA B. - -- - WALLS: Area R-Value A a xLo + lll4it�= a�1So al B. C. Total Wall Area = o�31s� - Door + Window Area ROOF: Area R-Value A.F L-A-r _ ► l 4c� -- - - e B. C. Total Roof Area Skylight Area ABOVE GRADE VOLUME: BASEMENT VOLUME:_sk— Qualifies Under Energy Budgets Only: Y / N North:— _ East: South: West:__ I I Cal 4 s s �o w ►�rho�, - �/�,�,� GIAZING P1an R v1 w r-F11 out this glazing section or attach a window schedule to this checklist. jMpector information during field inspections. Include skylights,glass doors and all other glazing . Very window ing on this form, Use rough opening area for calculations. Size uantit Area S . Ft. U-Value Manufacturer Rev. jay o 3 �" "" .2 Y s o ?C— 's36 96 z Cf) SC2 pa ( A9 p ve✓��e� c), yD I N��v�e�-4 eCK c:i/ecq L P2L. l 30 -Wall Arect work�slie- s lL 0 OrS PSI 5�t�SJn 216, I-IM V, Yo ��nd �--.2---a �.z 1 Vo �,10 xo / D - 12 Total glazing area: Total conditioned area: 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. Type/Quantity Date U-Value Manufacturer Rev. Insp. Signature or Building Inspector: Date of Final Inspection: 1'"' Lq M Permit No. MASON COUNT.' 2 1 19933UILDING PERMIT APPLICATION PLEAS ;NLI H SERVICES b� o`� #1 Owner EAhq 7R S Phone# 4f-70�/ Site Address _ h SO Fire District # City S6�EL7nIQ St wA. Zip 2aA:f Directions to Job Site 5 CU is � f c` — .Qo ` ma's 0/1 Ta Owner Mailing Address / « Cit St ZA-1A Zip Lien/Title Holder .SW/%111 Address City St Zip #2 Contractor Name e- Contractor Reg#�iq Address .47 'e .t Expiration date Cit ty/ 1 Sty Zip Phone +2 7--6,?6d #3 If septic is located on project site, include records. Connect to Septic? L--"' Public Water Supply Well (If residential, proof of potable water is required) #4 Parcel No.--�Z2/31!9 _ 7-.�_ �f0/3/ Legal Description 1-.o7- #5 Building Square Footage: 1st Fl Za24 2nd Fl `6^ 3rd F1 Loft Basement h Deck_z5-y #bedrooms 3 #bathrooms Garage Carport Garage/Carport: Attached r Detached Other #6 Use of building r Describe work �;gL2J {UVye #7 Type of Job: New_ Add Alt Repair Demolition Re-Roof Bulkhead Other #8 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: APPLICANT TO DRAW SITE PLAN BELO APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW _ DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond Hold Approval Planning: � ry1 S Environmental Health: a'_, l Ll Building Plan Review: Occupancy Group: Fire Marshal: Other: FEES IlSpecial Conditions: II Ilsite Inspection I II II II Ii 'I II II IlBuilding Permit II II I' 14� II II Ilviolation Fee I II II II I. ;I II II 11violation Investigation Fee I II II II 11 'I II II IlPlan Check I II a� II II I ' '� it II II II Plumbing Fee 1 II II II 1' , CAD ,1 II II 11Mechanical Fee I S 7 �rf1 II , UV II I,, I II II IlWoodstove Fee I II II II 1 I II 11 IlBuilding State Fee I II I� II I, ,I IlBuilding Valuation: 6(� �� (i iI TOTAL� �3^]-uCJ,� { i r Plumbing Fixtures Fee Mechanical Fixtures No.-,LToilets q Primary Heat Source (circle type) Bath Basins Elect/heatpump/other 2Bath Tubs Showers NO. FEE i Hot Water Htr 3 Furn 1 Laundry Washer 3 _Heat Pumps Sinks "J L Vent Sys (Central) Floor Drains Ll Vent Fans (Spot/Whole) Laundry Basins L Boilers/Compressors / Dishwasher �1 Hp Disposal Air Handling Unit Urinals cfm. Other Fire Protection Systems Permit Basic Fee �5 TOTAL PLUMBING $ Other Gas Outlets.Hookups Wood/Pellet/Gas Stove a Other Permit Basic Fee r— 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 1 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 v `ti C - X BY DATE DATE Return permit to: Department of General Services 426 N. Cedar/P.O. Box 186, Shelton, NA 98584 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: DA.