HomeMy WebLinkAboutBLD30335 SFR - BLD Application - 4/27/1992 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
�J 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 7 �
427-9670 DATE ISSUED "
PERMIT NO. 3
OWNER
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS /7
TO JOB SITE ( P-0A
PARCEL 7 LEGAL
NUMBER 3Z�3� ZZ G io DESCR. 7-P- ( Or--NUJ N W Soot" J�gS! gkz cv Sf,c L
NAME MAILADDRESS CITY&STATE ZIP �� PHOT LICENSE
CONTRACTOR
rr>� 3 77 Polti Qri•� S � USA.9�ss yz •S32 = P>8F o
USE OF
BUILDING Rai D
CLASS OF EW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK Wo ` gvit 01N aN Lip e +�eUND T/Uhl
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE ;Lo f SgFt STORIES :1 SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS _�3 PRIMARY RES.&- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS Z- SEASONAL RES.Q COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACES IS CARPORT/GARAGE
GARAGE SgFt ATTACHED Q 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 APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE _ X BY � � DATEZ—
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVEDJO DEPARTMENT YES DEPARTMENT
BUILDING VALUATION 7 d3 4
HEALTH r PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMITb
D.O.T. BUILDING PLAN CHECK ' 3
SPECIAL CONDITIONS 11 BUILDING GROUP 3 PRE-INSPECTION
I�DI'J-e kjol'Q- : >u cif Jc w+D !t d r I SHORELINE
zc)J-2 /� 33�' 6? WOODSTOVE
a fIr4n'kce- PLUMBINGkf�u
5(� ����3 MECHANICAL
CWMIFMYgpt STATE BUILDING FEE
CALLIHI{OFfiCEBffOREf,'OIi�1i11JC�1011
APPLICATION 7CCE7 PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
` BY �'/�1'`�z CASH CK MO TOTAL ��r��
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER F_&D_Y TZ-+ CHI G 12 E. S'S $ E:L1y1.1 A'3K8 '-�i6 73S1
DIRECTIONS
TO JOB SITE 3TV LA56M ` N 6iS
LEGAL
DESCR. ?!2 ( OF- NW NW Sunu �. 3y
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
5 ztYtt)I Trlj,4NJ 37t %,1.1tT DrL F _SNP+ Ivy 8 427 53
71
USE OF
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
2, WATER CLOSETS A.oL FORCED-AIR/GRAVITY TYPE FURNACE 6.00
2 BASINS Aj. 4 FLOOR/SUSPENDED FURNACE 6.00
BATHTUBS Z`" BOILER/COMPRESSOR 6.00
SHOWERS Z REPAIR/ALTERATION 6.00
WATER HEATERS 2�' REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER w ' AIR HANDLING UNITS 7.50
1 SINKS 2- HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS S VENT.FAN SYS.3.00 PER UNIT 4T'
LAUNDRY TRAYS FIRE SUPPRESSION 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER �I
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL Z TOTAL 31 •5'-
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 FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY g/� DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED
/FOR ISSUANCE PERMIT VALIDATION
BY /'42 CASH CK MO
I
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670
DATE ISSUED
PERMIT NO.
NAME L ADDRESS 1 &STATE ZIP PHONE
OWNER z-enA l2vG14En4LLG4-Ari.1' L-9915-ti I OJAf S rbN wn V 4,2 -73S r
DIRECTIONS
TO DI JOB SITE i I W 3 iv N SDN -U� T C osS it
PARCEL b!�. LEGAL TrL I oF- Nw NUJ 5ur►V �3y
NUMBER 13Z/3(. Zz. DESCR.
Indicate below. O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
O Location of proposed construction on property.
I O Building & septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
In Circle O Saltwater, lakes, rivers, streams, wetlands, drainage.
O Attach copy of septic system "as built" or septic permit approval
O Indicate topography profile of property and structure on reverse side.
0Go p
Cy,
I
l 90 -4000 o as
o c� pR
a
'F-
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval.
9 9
SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
r11CTD1r^T
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
I
Pa.o posfar� 9 ,o ,
E { a-
-iti-� 6
r-XISTIN44
(-[v Be (ZEm wcO SbfIc T?tiK
100
[ktSTI►v"
DnwiN ,
�t lam, 6;Dyw
'poW�
/,,/ ���._._ Y _l - -- ' -- — - _ �_ moo'•- � _ ` ., .. •. - J
N
r I goy °� rruus ►nb2
yami� rn Ntwicc� 3
GLAZING
Plan Reviewer -FiIl out this glazing section or attach a window schedule to this checklist. IMPS or - Verify window
information during field inspections. Include skylights, ;lass doors and all other glazing on this form -,;,.rough opening
area for calculations.
Size Quantity Area Sq. FL U-Value Manufacturer Rev. Insp.
J7
(l (
Z / 'l A
P. l l �� �1 r 7
P_7' �• � 3
j,
5 5
J
-P
�—r Lib 12 .6)
y = .37
Total glazing area-
Total conditioned area:
Percentage glazing: Veritled:
DOORS
Plan Reviewer-List opaque doors by type(solid core,insulated.etc)quantity.U-value,and manufacturer. Impeetor.
Verify door information durin; field inspection.
Type/Quandry U-Value Manufacturer
Rev. ( Insp.
_
A G/l' 1 4 ; 11-; GI
I
Signature of Building Inspector:
Date of Final Inspection:
. 1
MASON COUNTY BUILDING DEPARTMENT
i
1991 WASHINGTON STATE ENERGY CODE
AND
VENTILATION AND INDOOR AIR QUALITY CODE
RESIDENTIAL PLAN SUBN=AL REQUHUMIENTS
For processing of applications under the new Energy and IAQ Codes, it is imperative that
the submittals include certain basic information.
REQUIRED INFORMATION:
1. The application must be fully completed to determine compliance.
2. A window schedule must be attached. The schedule must show the make, model and
tested U-values. Glazing class alone is no longer adequate.
3. The building plans MUST show the following:
a) Framing to be used: standard, intermediate or advanced; t
b) All insulation and R-values;
A`' c) Type and location of vapor barriers; ---
d Location of the whole house ventilation fan and controls;
i
e) Location and size of all other exhaust fans;
f) All exhaust duct runs and their points of termination; -
i
g) The type and location of all outside air inlets;
h) Termination point of appliance vents;
i) Location of all solid fuel appliances, fireplaces, and combustion air ducts;
j) Location of furnaces, hot water tanks and other equipment.
k) P.U.D. application #
1991 WASHINGTON STATE ENERGY CODE
AND
VENTILATION AND INDOOR AIR QUALITY
_ SINGLE FAMILY RESIDENTIAL APPLICATION_ _
_ Site Address -✓S 81 ftr - Par cel# 3 I3 bz 7-
Lot
cx0?0(
TR 1 UJ NW gunv
�^ N Subdivision
�jNew Residence [ ]Addition [ ]Remodel
Area (sq. ft.): 1 st Story 10,6 Y 2nd Story Basement
l Compliance Method
[r]grescriptive - indicate option (see attahed sheeq [ JI [JII []III []Iv ( ]V Pf [JVII [ ]VIII
<: [ ]Component --Attach documentation and calculations
[ ]Systems Analysis - Attach documentation and calculations
Heat System
[r]Electric (Electric Resistance)
[ ]Forced Air [.]Wall Heater [ ]Other
[ ]Baseboard [ ]Radiant
Make CA Per-' Model 7^ 1 Sz.- Size (KW) -
[ ]Other
[ ]Gas Furnace [ ]Oil Furnace [ ]Heat Pump [ ]Other (md-e)
Make Model
Size (BTU) AFUE HSPF
Ventilation System
[,Non-Heat Recovery Ventilation
[`,]Spot and Whole House [ ]Central Ducted [ ]Integrated with Furnace
Whole House Fan:
Make Nur Model Size (CFM)
[ ]Heat Recovery Ventilation
( ]Air to Air Heat Exchanger
[ ]Heat Recovery Heat Pump
Make Model Size
Attach 1) Window Schedule
2) Heat Loss Calculations
Radon
A three-month etched track radon monitor will be provided (by builder).
ACKNOWLEDGE: 'I �,
(eude.r ugn.n..�
MASON COIIN'I'Y BUILDING DEPARTMENT
WINDOW SCHEDULE
WINDOWS (group same size windows on one line)
How
Brand Model U-Value --Many Size Area (Sq. Ft.
U JEAV AL V*I tJ d
vvtrvs)*tjc.i4.�,:L .3C.?
./ •3f}: Sp xy C
�:► ..3a Sax o _
i t 551E 7' .>r s o o S~
Ao
plcrU"G_ •3d r ,�(�/,a 16
TOTAL WINDOW AREA (A
f
SKYLIGHTS 2V yz
Brand Model U-Value Many Size
TOTAL SKYLIGHT AREA (B)
TOTAL GLAZING AREA (add A+B) 3s9 C
(
rl �
DOORS (from heated space to unheated space) l,V
How
Brand Model U-Value Many Size Area (Sq. Ft.
W Er rNt VaNt
awCoo, Sca,nJs Caws No
F�B!°ftccnssrG� 17Jb"ta try /o!-g o)e 8 �{Z
TOTAL DOOR AREA ��
1991 WASHINGTON STATE ENERGY CODE
AND
VENTILATION AND INDOOR AIR QUALITY CODE
PPXSCRIPTIVE PATHS
OTHER FUELS (GAS, OIL, HEAT PUMP)
WVAC- G1azkV wall Well inn wall axe Slab$
Equip. %Floor GiamV Doors Vau fIBd Abava Below Below on
Option Eflic. Aram U-Vakfe lJ-Value COW Calif V Grade Grade Grade Floor Grade
I. Mod. 10% 0.70 0.40 R-30 R-30 R-15 R-15 R-10 R-19 R-10
N. Med. 12% 0.65 0.40 R-30 R-30 R-15 R-15 R-10 R-19 R-10
III High 21% 0.75 0.40 R-30 R-30 R-19 R1!9 R-10 R-19 R 10
rxY!►wQJfr ; " a......: 1 � 1QR t0: Reference case
V. LOW 21% 0.60 0.40 R-30 R 30 R l9 R 19 R 10 R 19 R-10
V1.' Med. 25% 0.50 0.40 R-38 R-30 R-19 R119 R-10 R-25 R-10
VIC MGd. 30% 0.45 0.40 R-30 R-30 R-19 R-19 AM R-25 R-10
f Mitknurn requirarrwnta for each option Wad For asartv4,if a proposed deign has 5 Floors ww sal spaces or*Vmod to&ni:owA mir oomki ons.
a glaang ratio to 6w oondAxxwd Moor area of I i shall mnp+y with sn of the
requwenwnb of the 21%glaxuV option(or IWmark Proposed dens which cannot 6 Raquind slab p,rirr tw insulation shah be a water rasatant matwial trunulactured
awl 0-speCfio raquorwrocts of a Wad option above.rrry c"lals oonpLancs for is inlarded use,and r alled a000rdmng to nwrwladursra spec!'cations. See
by Chapters 4 or 5 of this oods, sedion 6024
2 Rec;L-mrrm appfiw to al c0li-gs a:oepl SwVW raker or pat vaulted oeJi.ps. 7 These oplom shah be applicable to bLoWu qs lass than throe stories.
'Adv'denoees Advanced Franwd Co&%
5 Regtrwrwrtt apPiicade only to awgle raker or pat v.ultad owings. • This sl rah iwuiaoan tsQuvwrrA darndes R-1fi welt r:avrly irrurlatron plus R-5foam
4 11 low grade wak shal be mwulated other on&a wdernr to a trwrinum level d R- g Ma mtrm WAC Equgrrwa sRtcancy recf& rnL Lad denotes an AFUE of 0.74.
10.or on tM memo to the same laves as raps above grads. Exterior roAm on Lad'danotea an AFUE of 47l Tight denclas on AFUE c1 QBi
isataFrd on below grade side shalt be a water reaistaM rrrtwid,mera/acWred for
Is erlwded use,and orwtsded a000rdirng to 6n.nm%Aadwsfs speofieaborn. Saa
,arson 6022
ELECTRIC RESISTANCE Glazirg Wag Wag hr wall ext4 Slab*
%Floor Glazing Doors Vaulted Above Below Below on
Option Area Ll-Value U-Value Ceiling' Ceilings Grade Grade Grade Floor Grade
I. lox 0.46 0.40 R-38 R-30 R-21 R-21 R-10 R-30 R-10
11. 12% 0.43 020 R-38 R-30 R-19 R-19 R-10 R-30 R-10
III 12% 040 0.40 R-38 R-30 R-21 R-21 R-10 R-30 R-10
..�.<,m,... :.ao;s.>�Q..�,.... . ,.. ..,,��.s.fi?,19.�...;�;:R-10,.�,µY;R'�,•.<«,^.3i-10.,: Reference case
V. 18% 0.39 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
V1. 21% 0.36 _ 0.20 R-38 R-30 R-21 R-21 R110 R-30 R-10
Vil.? 25% 0.35 0.20 R-38 R-30 R-19+R-5$ R-21 R-10 R-30 R-10
V111.7 30% 0.32 0.20 R-38 R-30 R-19+R-5e R-21 R-10 R-30 R-10
1 Mi-ort ngr.erwree for each option bled. For.urry4.A a proposed ae*W has 5 Floors over craw/speow or espos.d to wt-re w oondtwn..
■gla"rani to 6,.eo'.60- d Yloor area of IM r shop comply wnh all of tN
rspnwwrwm d 6ra 21%glanng option(w h9mw). Proipwed dergrr which cannot 6 R.Quw d slab pwn..rw mulalton shall be a water rseetan m%Wmisk nunuladured
Rww the spao0w rw7rmrernen,f of a lined optom above.rrwy calou We oonpranoe for b f40 Use'scot ns'"W soo0"to M-er Osdureea aplclrstronf. See
by Ch.ptivs 4 or 5 of the oode, sedron 6024.
2 Raowwr ft aCdlee to All owings escepl ew911 rafter or fast vaulted ceJings. 7 Thew col s shall be apdiceble to buildings lass than three slonw.
'AdM denotes Ad~oed Frarrrd Gong.
Reqursrr,ant sppis�ble b s le rafter or et vaulted ow 6 The rap muiunn reowwnww denote,R-19 wmp cavity rnsulatwn plus R•S foam
o^I)' wV P ings. aw".
4 Below grade walls chap be seuiat.d edw on the sstwa to a mrwnwn level of R.
10,or on tM rntrror b t1»sanr navel r wins at»vs grsoa Ecteror msulahon
rataMad on below graoe wa►s shall be a wu«rslrant metenW.m utactursd for
As.wend.d ur,mild vwtaled 6000Mwrg to ow mwK4adore,soechulgM S"
socoon W2.Z