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Home My WebLink AboutBLD28784 SFR - BLD Permit / Conditions - 8/9/1991 6C 4ftt i4o ee--Q-Q.S" sue, Shorelines: 7 Setback: Plumbing: Special Mechanica : Conditions: Interior: FINAL,: Mobile tee; Smoke Detector: Footing: ., Remarks: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 28734 No. Floors Owner pat & Bruce Haskell Tel Date Address E 561 iiDd,,elsen Rd. Contractor sane Shelton Zip Address Legal Description 34 21 3 iP Direction t r 5 of o project site T !'. i1L T Mikkelsen Rd �o R 1 2Take ja L. Take ironed, driv Fiun ing _� c anica ewer replace Deck tove Basement Loft — age carport Other — BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED u PERMIT NO. d OWNER AME MAIL ADDRESS CITY&STATE ZIP PHONE ftkkellfN ( she111-00 w1A DIRECTIONS r II_ 4 TO JOB SITE N �` Q I�•e'T T Aso �Qk,C, C 7�vr\ pn.. 5hettoN I t ilf, to T►kke I sr� 12d.. RCEL LEGAL 6 Q -s6k) 146 �wqQ a of S/%� NUMBER -If3—gOOSO DESCR. SE V NAME MAILADDRESS CITY&STATE LICENSEN ZIP PHONE CONTRACTOR S �. USE Re 1 d� ,..� BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK BEDROOMS DECKS CARPORT -60' NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. GARAGE �� CONDITIONING. NO.OF STORI ES -a- BASEMENT ATTACHED _Wt 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 TOTAL SO.FT. FIREPLACE DETACHE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT ✓ SHORELINE SEASONAL 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 APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. XOWNE ` � 611'f� � XBY DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION 1 HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT 0O D.O.T. BUILDING PLAN CHECK O SPECIAL CONDITIONS BUILDING GROUP „ PRE-INSPECTION SHORELINE d WOODSTOVE PLUMBING MECHANICAL (�® STATE BUILDING FEE ,f STATE SURCHARGE P ATIO A EPTED BY PLANS CHECK BY APPRO ED FOR ISSUANCE PERMIT VALIDATION _ 5 5. BY CASH CK MO TOTAL ZS' 0 3D / o ZZ � x 8� II PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. u OWNER NAME MAIL ADDRESS CITY SSTATE ZIP PHONE I �i, � l4 DIRECTIONS r ' +24-0 zul TO JOB SITE �e 1 rv� ¢, 'trp IM k Ic . rya 12d r i2 -' kt oo LEGAL L DESCR. S T s Lu N 0 r 12 Ve CONTRACTOR NAME MAILADDRESS CITY SSTATE LICEN ENO. ZIP PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE 3 WATER CLOSETS (0,00 FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS .O p FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS 4,00 BOILER/COMPRESSOR 6.00 .�` SHOWERS -&- REPAIR/ALTERATION 6.00 WATER HEATERS _ �, 0 _____REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER a O 0 AIR HANDLING UNITS 7.50 SINKS '00 HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET -�' DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT tee'" LAUNDRY TRAYS WOOD STOVES •5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER a-D O DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL 1 :1ftgo . 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 AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRS AINING APPROVAL FRO THE BUILDING DDEPARTME T. rr WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWN ,l.L�G� v1 I�-� X BY — DATE__ FOR OFFICE USE ONLY APPLICATION ACCEPTED BY NS CHECK BY ING GROUP PR D F SSUANCE PERMIT VALIDATION �� m�I tB CASH CK MO oa a, o� 00 aq,00 6Y4d CY �- oa FO# 575,�� q At 5 wT� PIS �7 r 1i1 v lS�� .1 i . 5 9 9 q � IZ ' Pc�2mi i MASON COUNTY BUILDING DEPARTMENT f PLAN REVIEWER AND INSPECTOR CHECKLIST 1991 WSEC AND V&IAQ CODE COMPLIANCE PERMIT NUMBER LEGAL e y kr>E' NAII�IE ON PERl'�IITasKe l(, �� T �3,-van PHONE # COMPLL4INCE METHOD: O Prescriptive O Component p ( ) Systems Analysis /Insp. Rev. FOUNDATION l ) ( ) Slab: R- (Est-fouadauoc down to f osdineWab b000=or intmar 24-top aslab&honmocal. Radiant under entire) ( ) ( ) Below grade exterior wall insulation: R- ( Crawlspace ventilation: G- Cvo (1 s+k vNy1S0sq,g,floor era-etas, ented) 160 990 - RAMING ( ) ) ( ) Standard Intermediate ( ) Advanced ( ) -*4 '''`,.Woodstoves and/or fireplaces: (6 sq.incks cambustioa air supply duct vith dan�rr dircc to t"ueboz) ( ) ) Standard air seal: (Bosom plate/subfloor.rim joistlmudsill,window/door fumes,pcw=tions condition to non-condition.) ( ) �`• ) Attic ventilation (l sq.f< avL� 0 .ft.ceding aura.site s0rsa split tfsc 3205-cq /o�` _(0 74� f ��`F� o ( ) �(�► ) Spot exhaust fans: (4-exhaust-bx1viatmdry 50 cfm®=wc;i iwc 100 cfm wc. v��t �cord,d,n,p�.) - Fresh air ventilation: Available to all habitable roomL LoWled and operational ( ) ) Whole house exhaust fan: cfm race mtl-w system nsawsal At awn coetrols/sone less than or-to 1-5 at.i wG) ( ) ( ) Integrated forced-air system. otnside air duct(wilt damper)allowing berme J5&.s AC1i INSULATION ( ) ) Wall insulation (above grade) R- 2 I (B=facestap<ed) ( ) ( ) Wall insulation (below grade - interior) R- (B=z race Vapor retarders on wails (Faced bau.or 1 mil poly or pemt paioc) ( ) {v ) Rim joist (insulated with vapor m=,d r-rigid foam and calked or 4 and poly.) ( ) (v) Floor insulation R- 3C' _ (s„h tan, ,co-mcs w,uufwr supports lest than or=to zs-oC•.not bloeiong routs.) Ceiling insulation R- (w inttlatioera.d rigid atx�ess dad,-ao ) ( ) ( ) Vaulted ceiling insulation R- (Vapor retarder& l-air y) Mechanical ventilation ducts R-4(Exhaust in uwo ditiloa d spa=e1 ngNwy La cnndicioocd sp,cr) HVAC ducts in unconj1doned areas R-S (;..use>jeo Pipe insulation R-3 Hex and cold lines in uoconditiosed cot(service or mca see Tabk 5-i-j. l ) ) S HW heaters: (IVAECA label.separate power or gas s'% - oa R-10 pad if ek hie in unconditioned or on c„necte_) ( ) ) Heating system type: .E/r'r- C - Heat pump. list size. HSPF. and COP. Indoor model * Outdoor model # FINAL Radon monitor on site with instructions. (Signdtdate.) ThermostlC (Heat ranee 55-75:AC 70-35:both 55.35. 3ackup It=con(mis(lockouts prevent simulancow operauou of primary systerm) Solid ruc! appis.: (Gjjwrrwtal(teht-titttng dmn:dir.tomb.au source.or 4-dia..Umpercd,indif.source for existing rotor) Ground cover (6 mil black pui,hyicnc or appro.ed equal laooed I—at joints,citending to foun"ion -a11) Penetrations (Air t•ctcrww Wall and ruling pcnctnt,ons saalal todryW311.1 Les.s than or equal to 21" on center is axle. T%4ine is recrlmmended or supports at 12" on center. T _ GLAZING k G Plan Reviewer - Fill out this glazing section or attach a window schedule to this checklist. IMp=- Verify window infotmaaon during field inspections. Include skylights. ;lass doors and all other glazing on this form. Use rough opening arcs for calculations. Size I Quandry Area Sq. FL I U-Value Manufacturer Rev. Insp. �12) qyxlyl p k) , Ay o a �o i �7w,N V t4A Y71 r a �r0 Total giaziag area: C� Total conditioned area: 9 Percentage glazing: Verfned: DOORS P}an Revfe er -List opaque doors by type(solid corn, insulated,etc)quantity, U-value,and manufacturer. jmpt - Verify door information during field inspection. PTypclQuandry U-V01ue Manufacturer rRcv. Insp. Signature of Building Inspector- Date of Final Inspection: