HomeMy WebLinkAboutBLD94-01566 Final Change of Use - BLD Permit / Conditions - 12/23/1994 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANIC IL MOBILE HOME
Footings-Setback date Z q bY4 4 Ribbons
date by Gas Pipingf 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 d I- Walls FIRE DEPT.
date I t-'?-S-gqby date 2 by date by
PLUMBING OTHER
Groundwork Attic
date by date I b
D.W.V. WALLB6AfIDINAILING
date by date
Water Line FINAL IN§PECTION
date by date `L rL`3 by date by
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORRECTION NOTICE
Job Location � 5.
r� n3LI—/"-6
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
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4 LHc5c-' I4T aNS CA-C$rt t6 f-� tool C.Z--
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You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
I Call for re-inspection when corrections are made before continuing
Make corrections 'tem will b checked on next inspection
OK to -
Departme ,
fe Inspector
■ �� � NnT MO AV THP-okT`k
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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Date Checklist Prepared i0 - .2 C741
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE Chime of
Permit Number 4 Address 4E. q4O Sense/) F.CIL Sq. Ft. 5/4/6
Name on Permit C OL D,4 , tractor/Phone 7`a�53 x S
Compliance Method: Prescriptive (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-
( ) �) Crawlspace ventilation: �'r?' .`� (1 sq.ft.NE&1150 sq.ft.floor area-cross vented)
/7 V
FRAMING
Standard NN) Intermediate ( ) Advanced
Woodstoves and/or fireplaces: (6 sq,inches combustion air supply dud with damper direct to firebox.)
Standard air seal: (Bottom plate/subfloor,rim joist/mudsill,window/door frames,penetrations condition to non-condition.)
( ) (r ) Attic ventilation (I sq.ft.h1 A/150 sq.ft.ceiling area)
( ) (--4) 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.)
( ) ►. � WhT "le 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 bait insulation)
Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.)
Wall insulation(above grade) R- C>11/ (Batts face stapled)
( ) ( ) Wall insulation(below grade-interior) R- (Batts face stapled)
Vapor retarders on walls (Faced halt,or 4 mil poly or perm paint.-circle one)
( ) ( ) Rim joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly.)
( ) 1� Vaulted ceiling insulation R- (Vapor retarder&I"airspace)
Floor insulation R- a6— (Substantia ontact w/surface,stipports less than or=to 24" 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 (mints 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).
( ) (r) SHW heaters: (NAECA label,separate power or gas shut-off,on R-10 pad if electric in unconditioned or on concrete.)
Heating system type: V�IfCf-r iC.
( ) -(v ) 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 primary system.)
( ) ( ) Solid fuel appls.: (Glass/metal tight-fitting doors;dir.comb.air source,or 4"dia.dampered,indir.source for existing const.)
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 RA-3 9 (Insulate&weatherstrip access,baffle to prevent spillover-no cardboard)
( ) ( ) Vapor retarder paint if a vapor retarder was not installed when insulation was installed.
-
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GLAZING
Plan Reviewer-Fill 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 .
L4 c)4 C 1 i
1:3 Ce Ce qO U '411 W t5rall l l rnee�--
q-O o�
l esS
Clue
54ckers nivst
r1s coo
Total glazing area:
Total conditioned area: 440
Percentage glazing: � 4 Verified:
DOORS
Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. Inspfftor-
Verify door information during field inspection.
Date
Type/Quantity U-Value Manufacturer Rev. Insp.
Zg L�o Fbam doge
Signature of Building Inspector: Date of Final Inspection:
MASON COUNTY BUILDING DEPARTMENT
1991 WASIIINGTON STATE ENERGY CODE
AND
VENTILATION AND INDOOR AIR QUALITY CODE
OWNER 1;4,41l-11 6 dZ, 64 TELEPHONE �� /- GJS
OWNERS MAILING ADDRESS ��a ��ti Ste/'✓ �' ��I�G TU/�� WA
COMPLIANCE INFORMATION
TYPE OF PROJECT: () NEW RESIDENCE()ADDITIONXREMODEL () OTHER
AREA(SQ.FT.) 1ST FLOO�_ 2ND FLOOR HEATED BASEMENT
Note: Heated basements must be insulated and finished to meet minimum energy code requirements.
TOTAL SQUARE FOOTAGE OF CONDITIONED (DATED) AREA �C/
COMPLIANCE METHOD:
( ) PRESCRIPTIVE PATH -- circle o do -- I II III IV V VI VII VIII
Glazing percentage / ° (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
DATING SYSTEM:
ELECTRIC RESISTANCE
—'><Electric Central Furnace () Electric Wall Heaters ( ) Baseboard Units
O Radiant Panels O Other
i
OTHER FUELS
( ) Heat Pump ( ) Gas Furnace ( ) Oil Furnace ( ) Other
( ) Boiler System (indicate type)
Make Model
Size AFUE HSPF
VENTILATION SYSTEM:
( )
Central Ducted System Integrated Spot and Whole House ( ) C rated with Furnace y ( ) g
( ) 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.
OWNER'S NAME:
WINDOW & DOOR SCHEDULE
WINDOWS
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.
3 q
TOTAL WINDOW AREA CO l
DOORS
BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT.
TOTAL DOOR AREA
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rt 4c ASON 10 1 t K1 Permit No.
M COUNTY �����
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 w r /y� f�GL��i.� 6raL1 Phone# 0(127-Oil'/ Uy17"Ly� �J-
I e Address F yyU �f�� /!� Fire District#
City w/l- 94"Y St 6.4 zip WJ7/
Directions to Job Site .�� 0� Q2dC1Co'�G� , 7ME 1U6Nf pia Irta-Ifc.) • //.r
TIbcJ; i�,N�J 1/6/11- mule, /f 3" W'oyfe_ /J oGJ Xi6✓✓7, LwrriTf DK Un 1/&17)
Owner Mailing Address
City SWI&rm"' C✓4 St wA Zip P4(X
Lien/Title Holder VO4J A10,1`' oaN40 Altit f C-fAt
Address
City St Zip
#2 Contractor Name /5, O�'/7)' S C 5 T Contractor Reg#,eP/TTC*1 a y Q
Address o4�, d. %0k 386 Expiration Date a / 2 16-
City f1L /y`1'I 14 St Zip 5,9 Phone# ���7--q 2
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply 7L Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 c o.
0egal Description C,yi 3� SPa.Z7Z
#5 Building Square Footage: (existing/proposed)
1 st FI 060 / JIM 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage/ Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building I U►7 N Co A 9 1�✓ o D E � ��C� � Describe work
Do�)'4- /�b6 f- ---
#7 Type of Job: New Add Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat OCT 1 .
Purchase Price$ GENERA!_ SERVICES
#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
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
SITS PL N ov. I& E/7W, I J
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
I
Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. UaLt5 Fees
Showers Furn BTU
Hot Water Htr _ Heatpumps
Laundry Washer Vent Systems
inks Spot Vent Fans
_FI or Drains No. Boilers/Compressors
La dry Basins _ HP
_Dish asher No. Air Handling Units
Dispo al 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
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. DEPARTMENT.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: T Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
mms
Environmental Health:
Building Plan Review CAaY% e
(ice
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
o�
Building Permit S-6
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