HomeMy WebLinkAboutBLD30234 SFR - BLD Permit / Conditions - 4/13/1992 AREA: #3 - LUM TYP*: RESIDENCE
Owner: SWEARINGEN, STEVE �1:4 1 Date: 04-13-92
Address: 1809 W 4TH OLYMPIAD 875q
Permit #: 30234 Floors: 2 Sq Ft: 992
Contractor: SELF "
Phone:
Legal Description: 34-21-3
Direction to job site: E 90 LSON RD.OUT HWY 3 LEFT
ON MASON LK RD RT ON MIKKELSON RD ACROSS BRIDGE
UP HILL LEFT AT Y IN RD
Plumbing X Mechanical X Woodstove X
Fireplace Deck Garage 441
Carport Basement Loft
Conditions: NONE
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: Final:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing: f
Fireplace: t
Woodstove: _
t '
Date Checklist Prepared 11_-,?1 On
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE
Permit Number �34 Address E 90/ "i K/('f—/SC)&) 12C7'( Sq. Ft.
Name on Permit "-n cJe cL r 1.5 T Contractor/Phone # 754 -6 ?lo /
Compliance Method: "(4) Prescriptive (Option) ( ) Component ( ) Systems Analysis
Date FOUNDATION
Insp. Rev.
Slab: R- (Ext.foundation down to frostlinc/slab bottom;or interior:4"top of slab&horizontal. Radiant under entire.)
Below grade exterior wall insulation: R- e
( ) Crawlspace ventilation: CG' (((I sq.ft.�/150 sq.ft.floor area-cross vented)
�)A
FMTNG Z )C,
J Standard ( ) Intermediate ( ) Advanced
1.
WoodS[oveS 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.7-z/
Attic ventilation (I sq.ft.ffA1150 sq.ft.ceiling area)
( ) (.,() Spot exhaust fans: (4"exhaust-balh/laundry 50 cfm @.25 WG;kitchen 100 cfm @.25 WG. Vented out with dampers.)`
( ) (\j) Fresh air ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows.wall por4 t`
( ) (q) Whole house exhaust fan: 0 cfm (Intermittent system manual&auto controls/sone less than or=to 1.5 at.I WG)
w\S�
INSULATION
( ) (�► ) Attic baffles installed to deflect incoming air(Rigid material resistant to'wind-drivr(moisture,ext5ad 12"abov 00 e� or 61'
above ball insulation)
Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditi` space.} T
1
( ) T1 ) Wall insulation(above grade) R- _ (Batts face stapled) -
( ) ( ) Wall insulation (below grade- interior) R- (Batts face stapled) C
tS
Vapor retarders on walls (Faced batt,or 4 mil poly or perm paint.-circle one) F _:_)i N
( ) (v) Rim)OIS[(Insulated with vapor retarder LP-rigid foam and caulked or 4 mil poly.) .(_A6
( ) (s ) Vaulted ceiling insulation R- (vapor retarder& I"air space)
FINAL
� u
' s
Floor insulation R- I q (substantial contact w/surface,supports less than or=to 24"OC,blocking vents.) 71
Ventilation system is operational (spot,whole house,fresh air to all habitable rooms. If integrated sys erri.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 (Not and cold lines in unconditioned areas-service or recirc.see Table 5-12).
SHW heaters: (NAECA label,separate power or as shut-off,on R-10 ad if electric in unconditioned or on concrete.)-
HeatingV
P Po g P
system type: ibk6 D AhC P,42VG'19nJ� ,�23' ✓ PUC /'IEO
Radon monitor on site with instructions.No. -" supplied by MCBn
Thermostat: (Iteat range 55-75;AC 7M5;both 55-85. Backup heat controls(lockout)prevent simta lltaneous operation of primary system)`
( ) ft_)_,4)jJ-7 Solid fuel appls.: (Glass/metal tight-fitting doors;dir.comb.air source,or 4"dia.dampered,indir.source for existing coast.)
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.)
( ) 43 ) Ceiling Insulation R-,;�. (Insulate&weatherstrip access,baffle to prevent spillover-no cardboard)
( ) {") Vapor retarder paint if a vapor retarder was not installed when insulation was installed.
1
GLAZING
Plan Reviewer-Fill out this glazing section or attach a window schedule to this checklist. JMp c o - Verify window
information during held 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.
3,3`'
6�9 Xif
3
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.
Date
Type/Quantity U-Value Manufacturer Rev. Insp.
Signature of Building Inspector: Date of Final Inspection:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
-tit / a av / l c -
DIRECTIONS
TO JOB
E �- O 7' "� U ?) 7' /Y W, "� 4:!F-AT av 94L 0 V
PARCEL LEGAL
NUMBER joZf3 -� -� f, DESCR.
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
�-
USE OF //�f
BUILDING L/Uf/VG R C &VI O ,(r 1 w E Pld,4,5 4P66owp&k-49'tl 'L-
CLASS
WORK O✓ NEW ADDITION ALTERATION l REPAIR MOVE REMOVE
DESCRIBE
WORK
` t
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE C 2SgFt STORIES oZ SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS �_ PRIMARY RES.R THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g �_ SEASONAL RES.❑ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE ,O// SgFt ATTACHED❑DETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING AP OV FROM TH ILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
JX OWN DATE -Z - X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENo BUILDING VALUATION J
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK G 'J
SPECIAL CONDITIONS ` BUILDINGGROUP PRE-INSPECTION
r O S V J i CL SQ Q yr. SHORELINE
< 5� WOODSTOVE
PLUMBING
MECHANICAL r
STATE BUILDING FEE
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL ''
'11"4 1 BY CASH CK MO �/ I-
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED-4 - J-�a
PERMIT NO. 609:�A
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER .5T --w5QeAgl E'EN
DIRECTIONS
TO JOB SITE
LEGAL
DESCR.
CONTRACTOR NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE
WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS FIRE SUPPRESSION 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL 5 TOTAL
SPECIAL CONDITIONS: _ 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 ANY TIME AFTER WORK IS
COMMENCED.
OWNERS AF D 4GA
If CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTRACT RTION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE
COUNTY ORDINA C ENTS FOR WHICH THIS PERMIT IS ISSL4D AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DO ORMA�ILE-i1iEREWITH. NO CHANGE,$ SHA BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIR O IROV L FROM THE BUILDING DEPARTWENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE , X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPR D FOR ISSUANCE PERMIT VALIDATION
�."� IBY � 1J ��- CASH CK