Loading...
HomeMy WebLinkAboutBLD93-01876 Cancelled SFR and Garage - BLD Permit / Conditions - 6/10/1996 1 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 1 tI J I 1. 1 .1 Y R'-4 C k Do a, 1: 14 tot u 1 1 ow IN P l ! l ! "Nt f All 4 A Y -_a t?10 VIA ! Illy "it i i1 t f i.)li €titltpr `Q - NE: 26 UE:WA110 RU TAHIIYA 01-.11J► 11 : MARK FRANKL IN 17b-5799 t.11IN I PFAC T OE OWNER IS CONTRACTOR t f 6 A I it 1 91 4NN1tF t 1(6 F$ OSS1111 Nt 144 .5� f' I 44 OF ltttl•P Nt N Itk l: RI # t,I1I 't � TYPE k11N1�t# 1�' 1ftr'I �tYI°f AMOUNT ft'; Out RICItPtI ! 5 I 1, ttC tI`)i' . 'e I� 't It.t li f ► � :` . '.� � {'� X4��.t'4��.TTM.=.i `..k"R:S� '.'6Ct,5 �+....t!flR: i':.•Stt]#SY:iC9K�":IR':�t�`•'�Rt1`.^.Y'^�iL^.'.'.•".-•.•v^SY^C'�•CCT_� I r t'1)} tatz+lNii' „ r r1F i�t't fit It 'kf-i . fit RAiI �' �L -i! Il 6l(�'R y.A :14aai NI)5i 1 IS It It# 1110194 14411 }}i 1VI!, O tt,NKt k � i �� � � • 11 � 1� I v ill('s3194 f4�+? �til"fI � 9 �.6 [W �El�zlij�4 �s4y•!i (I1-LU11 . 1 0A1) _ 0 tl00llq 10vI •, JOY it1-4S 1W 011201/4 'Aq-0 IV..VI 1 11011 0 ►sARF I:Nh ,i'A I- n - * 0 KIN60. t Al 10 111111`t4 14411 � t IP1`10F'E:"ITo t'�'" .11,ktA ',Ii"ALI INO P I�! �1fF1 $ sly tW i}ipZifm +4vti (tlitAt ° 461 so vnI1ILA1141N, IIc,4�� t:�-.w.:��::�,:�� . .ter-:;�....-m___.._..__�_:�.•�. .��-:.�.���. �.-s_m: �.��: ����f---z�a 01 t F. l `., , s ►.►II' I I y I't'. 110 1 I t F1 ,t 0mv NOR t i I ""Kf 1 I<I NT , N 40 . 0.r t: RATH I;A` 1 Pit /I I ! t 1 0- t HP 4) PF11R 0 . 01It ItAIH ItlIt ! ti 14 FdI'' . 0 h` "DF l - 111F ( I l ., t' 0 t` 1 ': kl0WEV4 tf MAE F tiIDF: { :' ) . W 0I_t. WAIfH HIAIL44 . I 1ttPR !+a9__ HIT 0 `""I 01 0 0 f v i":I l'11 Hl W!!`rllt kn I I ltva rAt Ftf'1i' v i2.t H 0 01 AV- - - ARE A _ F i It Elf PI tPub" 1 I!t li i.ItP�.t '. y 1 0 1q I ZF .. I: { iJ(1is t'- ii l t•t`. 3 t NJ ovq I'tt,t LLI1 ►d[.', , >'.:,tt•r, i It�� I:Pd4'.!Ni.t titt1P4i 69 ��! NO 1 :;N,, F;t1°,i I9t I I �1.:; f t d Itl�(1#I''�' 1 t'17•,. ✓, 1jtj 0 v I fE3r I N Q) qI v I 11t.I1 _ Uri F:^; bt I ►t :i `.i 11li';Itt r '; I t i I� I?l',IH01 tI`t►; u X3 I ., t ti•p t fi,AH jc nit1` : sv I toF3lrFt' I:.I ,:>' r`,{tI ' 1 i other. 0 t t:t At ", Vim w AT/Of ! t•1 "w Nu;, ty 0000 int 0 tf i iIt li tt111I 1 ', 0 In 0 xacx'.�d�a: .s.,. :.sc 8�..�,,..,^�r :a.�w: a..�..a-_r.....:r, .emu'-.+�e•��.ry-,rxsa�.crx:'r•- __.:.�..,;•..�ti-asarrt�^ta•.+...:s.�rer._.._ .._.....a,, .s.:__r_....... ..:..._.._ .._*.-^- ....____ _._.�......._-..r..._. ._.�-rr..a•--�cwx^.e-vz ...._..� ....._v:-t.-.:rn�:• PR4JEli UFifRIPllftN:RFSIDFNt.F - fi&RASE _ � PROJECT tOCATI811:1E11' 311 fU 1FIFA'ik IAHUY& 160. 11111 1&1 101tOU BFIfAIO, FA-NUYA ROAD 10 OtUall11 Putt, 01 t•; ON IRONER Of RfIIAIR IAHItt'A AND HfUA11O Olt -50 THIS FFRNTT 1IfONFS NUI1 AND YPIN tF WORKR:� ��115IRn atnN A81114k1?FD IN NOT t0100ItA 1111Ni'N Idd DAY ,. AR If 141111101`1►rN PR moll IS 'S119FN11FN fop A FIFIttl1 Of III RAiS AT AA1 TTNF AFTER UIRF I`i fitllfNEsit EVIUFNfF Af CONTINNAIIHN 01 14101 IS A P110611f v IN' I•F"F1ON 1lItHIN IRF 181 HAY PERIOD, FINAI I1%FF+ `• I4N 10%1 Ott 4PvRPVFP IffARF BUTtUINS CAN RF O itlPltit. 't IT N t it ?it A 5 f N T: �, • , ''_ 1 t yy :�..., tt A i E r 610 PkNI. rev: 4: 13I10 COMPLiANCh 10 AFTACI#E_Ci CONOITIQNS IS FiUQUI.RLD | ppppp MASON COUNTY UNTY � �| w ]�Q� County Bldg. Um| 426 W. Cedar | � P.O. *� l�� Shelton, Washington � . � ^^� "� ". .��..��� VV{]Q�|� � ����� � . . . ' »�.~° � � ]Lk- 11,11 ][ 11"Al '(::i, �� �� 1::;i!: Pell ][ 'r FOR INSPECTIONS CALL 427-9670 � BETWEEN Spm AND 8am 427-7362 � � BLD93-1876 PARCEL ; 322027600110 PLAT : DIV: BLK ; LOT : � � JOB ADDRESS ; ME 20 DEWATTO RD TAHUYA � � OWNER : MARK FRANKLIN 275-5799 � � � CONTRACTOR : OWNER IS CONTRACTOR � � L E G A L : T8 K OF SURVEY 316 FS 0551 5;1 09 07 0& � � � CLASS OF WORK . ' ; NEW BEDR ; 4 . BATH ; 3 T Y P E AMOUNT BY DATE RECEIPT T Y P E AMOUNT BY D A T E RECEIPT TYPE OF USE ' . ' ' : SF STURI[S ' ' ' ' ' ' ' ; 2 OCCUP . GROUP . , . : ? DLDG , HEIGHT , . : 0 . 0 f t TYPE OF CONST ' . ; ? FIREPLACES , , . , : 0 | � OCCUP LOAD � 0 W0UDSTUVES ; 1` ` ` ' ^ ^ ` ' ' | DWELL UNITS ; 0 PARKING SPACES 0. ^ , . ' � � INSPECTION AREA ; 1 SHORELINE? . . . . ; N � � � SETBACKS TOILETS : 3 FUEL TYPES BOILERS /COMP MOBILE HOME-- FRONT � _-________-_-_ . . . , ' , , . . ^ _____-____ _-__ � . . . N 30 . 0ft OATH BASINS . . . . . . ; 5 ; /ELE / / / : 0-3 HP . : 0 | � REAR , , , . S 5 ' 0ft BATH TUBS . . . . . . . . : 1 3-15 HP . : 0 MODEL : ? | SIDE (1 ) � 5 0f� SHOWERS 1 �URN ( 100K BTU 0 15 30 HP 0 � � ^ ' ^ ^ ' , , . ' , ' , ; ; - ' : -m*x�------ � SIDE (2) W 6 0f� WATER HEATERS � l FURN )=100K BTU : 0 30-50 HP : 0 � � ^ , . . , , . � � SHRLINE , 7 0 ' 0ft CLOTHES WASHERS , . : 1 FURN - FLOUR . , . ; 0 50+ HP . ; 0 -YEAR------ | AREA ---------------- KITCHEN SINKS . . . , ; 1 HEAT PUMP . . . ' . , ; 0 % � LOT SIZE , , : ? FLOOR DRAINS . . . . . ; 0 VENT SYSTEMS . , . ; 0 EVAP COOLERS : 0 LENGTH ; 0 � � BUILDING . , , : 2598ef DRINKING FOUNT . . . ; 0 VENT FANS , , . , ' , : 3 HOODS , . . , , , , : 0 WIDTH . : 0 | BASEMENT, . . ; 0of LAUNDRY TRAYS . . , , : 0 DOMES . INCZN ; 0 -SERIAL#---- � | | DECKS . , , . , . ; 0of DISHWASHERS , , , , , , ; 1 AIR HANDLING UNITS-- COMML , ZNCIN : 0 ? | GAR /CARP : G 528ef GARB DISPOSALS , . . : l (= 10000 ofm. ; 0 REL0C /REPAZR : 0 | � | AT/DT , ; A URINALS . . , . , , . . . , ; 0 ) 10000 cfm , ; 0 OTHER UNITS , : 0 | MISC PLM FIXTURES ; 0 GAS OUTLETS . : 0 � | � ,RVJ[[l ULS0IPTI0N:KES0[NC[ - 6A8A6[ � � � PK83[CT i8CmI8H:UNY 308 TU 8[ipAlH - T A H U Y A KUAU. TU8N RISHT F8ii0A 8ELFAI8. TAUUYA R0AU T0 U[AATlU KUAU. L8T I VN C0KN[K 0[ 8Ei0I8 T A H U Y A AHU U[NATT8 8U. � THIS PERMIT BECOMES MULL AND Y8I0 IF H88K OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, UK IF CONSTRUCTION OR WORK IS SUSPENDED FOR A y[8I8U � OF 18V DAYS AT ANY TIME AFTER H0KK IS COMMENCED. 0IU[HC[ OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 18H DAY Y00U. FINAL INSPECTION MUST BE � AyPRUV0 H[FUKE 8UI0lNS CAN 8[ 0CCUP[0. � 0HN0 CK AGENT: UAT[' 8LU_y8MT. rev: 03/31/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED mmom CONCRETE MECHANICAL MOBILE HOME Footings-Setback / date by Ribbons date �-/- by `.,/ Gas Piping date b Foundation Walls date by Set Up date , a- — 9 by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date 07,< i b date by PLUMBING y �J Groundwork Attic date by s�r $���t0 date by WALLBOARD NAILING ��1:J*• v�.� D.W.V. date 12— 7e by L. BY date � 3 -z 9, 7 by L J Water Line FINAL INSPECTION dates" by date by date by ZL 0.9 0, c C ., ;11 -, b 3 i r C7 S Lcoo: C- L. S bra ---t✓L-1 )- .J 1 ,n In � a► s o (�o? , Sc I G lds/�"lG GCc �c>un� 4r �• > �G, rG. r G�n� c cR]G L✓ r In S/x +voc�C 1 42 S (?-J- Q T df S 11 / /� L511 - GI /cab y el -1-- 1 l + G/ r S 1, A i c � f c�J' 'T h•G� L L L'?J ! C�"1 /L7� I'. I I I C.e. c- !�-� C O-rn 41�2/Q.'4 C u � 1 MASON COUNTY Mason County Bldg, 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 For : NAkK i by mwe . ha"dii "q and %torario of 1ta7Ardn"w malptiAlm or I I amm liquids L" excon, n! 10 qallortb is not allowmd uil,howl lho Appro-al 01 LhP —"mk fit , mar nhAK Pro ,d sVucl- ry or any poi lb-tool' q rlueater IhA to" w h- q iolt ! It "m v4v H a Mustoa r u oi MAKtaln 0 MinIMUM 01 K ' qPLbMvh lrom nil propprtv ij "vn , -0 -mmnv" Ono ji "hl X approm-d planc ar- rqq"irpd to hq o"Airp for wwpptlion pvirpon-w -allod f"r a"cl Jan, ary oov an Kim . Appr"val Will A" ! ho q1 a"L-d is;pi cl "I A 0 Re- l "opection fee In rho amom" L of $AO 00 P-t hq"t ( MINIM"m I h""if uill ho ohmrqqd m unt A- collmcted by ibiq d-partaivni "Vinr i - Any I "Iih-V lnqp" Ij ""v b� j "q pollorMp.j rmnt"d 41 PURADANI TO 1991 UNIFORM 11" 1111ING COW . blvl = 105 (c ) AND 41' V1111N & I ' , All 410 % M1111 HAVU APPROWU NUMBERS ON ADONVAqUI , PROVIDIW EN SOL" A POqll ( ON AK 10 HI PJAININ V191AI . AN" LFn1H1L Any WE QUA OR ROAD VRONIINO 1111- PROVE HIV MAWN LOOM ( Y "HjIDfNG PUPARIMEMI W1-"0011110h 1 HAT' IM14 Ut COMPIFILO PkI0V 10 rAIIIN6 IOV AMY qIll IN4plavill) Vt1NnPl!Cr10N Ftt lVAS1`D .0N knlVq IN TAH11 3A Ol- 1­111 [9q1 .PNIIQPN HH11DIN" ioDv 1,111 AISF10D It: OWN114/170NIWAr100 tnlls 10 PU l A1l=h4 ON qCli PplIll; In uvp"yqIlm(j N ) " All, k1INNIVOC11ON 1111-141 MELf 04 IXLF1` 0 All 10CAl 1 "orb AND Not kFu" IRLMINIS 1 X 01 tharuripo to opproved huijdi "q plonn 1111AV oft— L complianvv t " 1hp 1 "41 ma-hincilon ilavo inutcly todw , 14411 Ventilation and indoor Ail QUAJify LQdP , 10- Uniform H" Lldimq lode and/or Habo vowlt 0 latio"4 mtr''' I ho approvoo by mano" county prior to LN MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . : BLD93-1876 For : MARK FRANKLIN Page : 1 1 ) The use , handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fir Marshal . X ,T � _ .�A n 2) Proposed structure or any portion thereof greater than 30" in height from grade line , must maintain a minimum of 5 ' setback from all property lines , easements and right of way 3) All approved plans are required to be on-site for inspection purposes . If inspection is called for and plans are not on site , Approval WILL NOT be granted . In addition , a Re-Inspection fee in the amount of $30 . 00 per hour (minimum 1 hour ) will be charged and must be collected by this department prior to any further inspections being performed or approval granted . 4 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 (C) AND 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 IN ECTIONS . X 5) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQ IREMENTS 6) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code , 1991 Ventilation and Indoor Air Quality Code , the Uniform Building Code and/or Mason Count 1R-egulations, must be approved by Mason County prior to constructionX �, yA � ���i 1 Page No. 1 CASE HISTORY FOR CASE NO.: BLD93-1876 MARK 'FRANKLIN NE20 DEWATTO RD TAHUYA 04/08/94 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 12/20/93 12/20/93 KW BLDA100 Approved For Issuance / / / / 01/27/94 DONE KS 01/27/94 KS BLDA500 (F) Issue building permit / / / / 01/28/94 DONE TW 01/28/94 KS BLDA940 RLC Checklist Completed / / / / 10/22/93 DONE AHB 12/20/93 MMS BLDB110 Structural Plan Review 12/20/93 / / 01/11/94 DONE WLC 01/11/94 WLC BLDB120 WSEC Compliance Review 01/11/94 / / 01/11/94 DONE DC 01/11/94 GDR BLDB129 Sent to Planning / / / / 12/20/93 12/20/93 KW BLDB130 Planning Review 12/20/93 / / 12/20/93 DONE MMS 12/20/93 MMS BLD8135 Addressing / / / / 12/20/93 DONE GMM 12/20/93 GMM BLDB200 Environmental Health Review 01/11/94 / / 01/14/94 per approved septic permit DONE CAJ 01/14/94 CAJ BLDB210 Water Adequacy 01/14/94 / / 01/14/94 DONE CAJ 01/14/94 CAJ BLDC110 Footing inspection 01/31/94 02/01/94 02/01/94 PASS LW 02/01/94 LAW BLDC115 Foundation wall inspection 02/07/94 02/08/94 02/08/94 PASS LW 02/09/94 LAW BLDC140 Fr/Pl/Mc/Pen Inspection 03/28/94 03/29/94 03/29/94 CORRECTIONS: 1. SEAL BOTTOM PLATE TO FAIL LW 03/30/94 LAW FLOOR. 2. PROVIDE EGRESS WINDOWS IN BEDROOMS. 3. ADD A 2X12 #1DF TO GARAGE DOOR HEADER. 4. ADD CRIPPLE STUDS ON BEAM ENDS ON THE FRONT PORCH. 5. ADD FRESH AIR 80's AS PER APPROVED PLANS. 6. PROVIDE GUSSETTS ON THE POST TO BEAM IN CRAWL. 7. PROVIDE A COMP. SHINGLE UNDER POSTS AND BEAM ENDS IN CRAWL. 8. NAIL FLOOR JOIST TO SILL PLATE AND DOUBLE TOP PLATE. 9. FIRE BLOCKING AT STAIRWAY. 10. STRAP WHERE DWV CUTS TOP PLATE. 11. USE RIGID DUCT FOR VENT FANS. 12. BATH FANS CANNOT VENT INTO AN ENCLOSED SOFFIT. BLDC140 Fr/Pl/Mc/Pen Inspection 04/06/94 04/07/94 04/07/94 NOT ALL OF THE CORRECTIONS WERE MADE. FAIL LW 04/08/94 LAW CORRECTIONS 2,3,5,6,7,8,11 AND 12 STILL NEED TO BE DONE. BLDC145 Insulation inspection 04/06/94 04/07/94 04/07/94 CONDITIONAL APPROVAL: REMOVE WALL COND LW 04/08/94 LAW INSULATION WHERE THE INSULATION IS STUFFED BEHIND WIRING AND PLUMBING AND CUT THE BACK WITH OUT CUTTING THE VAPOR BARRIER AND FORM THE INSULATION AROUND THE PLUMBING AND WIRING. OK TO SHEETROCK WHEN DONE Page Nc. 2 CASE HISTORY FOR CASE NO.: BLD93-1876 MARK,FRANKL'N NE20 DEWATTO RD TAHUYA 06/08/94 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------ ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDC155 Final inspection 06/07/94 06/08/94 06/08/94 NOT ALL OF THE CORRECTIONS WERE MADE FAIL LW 06/08/94 LAW FROM THE FRAMING INSPECTION, CORRECTIONS 2,5,6,7, AND 8 STILL NEED TO BE COMPLETED. CORRECTIONS: 1. VENT PRESSURE RELIEF LINE ON THE WATER TANK TO THE EXTERIOR. 2. PROVIDE A SELF CLOSING DOOR OFF GARAGE. 3. SEAL AROUND TOILET BASES. 4. INSULATE WATER LINES IN CRAWL. 5. FINISH INSTALLING FOUNDATION VENTS IN REAR. 6. TAKE OUT A PERMIT FOR REAR DECK AND FINISH. 7. INSULATE DUCT IN ATTIC. 8. FINISH INSTALLING ATTIC LADDER IN GARAGE AND SHEET OVER WITH 5/8 TYPE X . 9. PROVIDE AN AIR GAP ON DISH WASHER. Date Checklist Prepared MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1991 WSEC AND V&IAQ CODE COMPLIANCE Permit Number G& �' P Address NC 20 De LZt f+0 �� Sq. Ft. C95619 Name on Permit M— f A N 1<L IrA 1. IA CL r 44 Contractor/Phone# a 7S' S Compliance Method: "(-4) Prescriptive-_*SZ—: (Option) ( ) Component ( ) Systems Ana ysis 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: Q"T (I sq.ft.NEA/150 sq.ft.floor area-cross vented) 1 I+I y-/1 FRAMING Standard ( ) Intermediate ( ) Advanced ( ) ) Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.) Standard air seal: (Bottom plate/subfloorr,,rim jfo s�t/mudsill,window/door frames,penetrations condition to non-co dition.) �j Attic ventilation (I sq.ft.NFA/150 sq.f4 ce�iltng area) �� '5 . /1 ��(-) C1 Spot exhaust fans: (4"exhaust-ba(h/laundry 50 cfm @.25 WG;kitchen 100 cfm @.7.225 WG. Vented out with dampers.) 7 ( ) r ) Fresh air Ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.) Whole house exhaust fan:l l ile lfm(intermittent system manual&auto controls/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" above bait insulation) ( ) ) Mechanical ventilation ducts R-4(Exhat,s to unconditioned space&supply in conditioned space.) Wall insulation(above grade) R- _(Batts face stapled) ( ) ( ) Wall insulation(below grade-interior) R- (Batts face stapled) Vapor retarders on walls (Faced bait,or 4 mil poly or perm paint.-circle one) Rim joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly.) ( ) ( ) Vaulted ceiling insulation R- (Vapor retarder&1"air space) FINAL ( ) ) Floor insulation R- %�,50_(Substantial contact w/surface,supports less than or=to 24"OC,not blocking vents.) Ventilation system is operational(spot,whole house,fresh air to all habitable coons. 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 recirc.see Table 5-12). ( ) (y ) SHW heaters: (NAECA label,separate power or gas shut-off,on R-10 pad if electric in unconditioned or on concrete.) Heating system type: £SEC / 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 coast.) ( ) {mot ) Ground cover: (6 mil black polyethylene or approved equal lapped 12"at joints,extending to foundation wall.) ( ) I(y ) Penetrations(All exterior wall and ceiling penetrations sealed to drywall-plumbing,exposed beans,wall receptacles,fans,recessed lights.) ( ) ) Ceiling Insulation (Insulate&weatherstrip access,baffle to prevent spillover-no cardboard) ( ) ( ) Vapor retarder paint if a vapor retarder was not installed when insulation was installed. 1 Y 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 glazing on this form. Use rough opening area for calculations. Date Size Quantity Area S . Ft. U-Value Manufacturer Rev. Insp. 3°q I I aLin o 40 � . -I ablel ID--I IN LoO i (p v— (o o;?o i a� ti tarn 001 n 1 Total glazing area: 0 l R. 5- Total conditioned area: aS Percentage glazing: Verified: DOORS Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. h1apector- Verify door information during field inspection. Date Type/Quantity U-Value Manufacturer Rev. Insp. do & Z qGC. --� o (00 UnL t ,go Signature of Building Inspector: Date of Final Inspection: I Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Owner A&I K I.,I r,.� Phone# c.?��—� 7 Site Address /�� ZO /�. ccJ Av Fire District# City Ef do A St A Zip Directions to Job Site aWy- 2A6 / 0i�/2 746C21 let hod �vllou� 13e(-�a sic -7e/tL"4a. Rd `& bew a�10 -f i 5 ©lt re f Fr,,e teLtuu A�t d bewQ-a Owner Mailing Address ���g r] �D nN CC t 6 q LI) City C'e- St_W A zip Lien/Title Holder I g pm JR Address rb .� Clty \n "VsLA-rob St l,) ii) Zip_ !! #2 Contractor Name Mo eK Contractor Reg# NIA Address 'AN M/5SIAn Ad . W. Expiration Date City �('��1�2. r1 St Uc Zip Phone# r- 7115-.S-` 9 #3 If septic is located on project site, include records. Connect to Septic? i/ Public Water Supply Well�� Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No. 1362010 - r12 - d Legal Description TIC-- (Cr d �� 3 #5 (,p Building Square Footage: (existing/proposed) 1st FI l�l�l�V 2 n d FI lIX41 / ?L, 3rd FI / Loft / (V Basement / Deck / #bedrooms #bathrooms Garage/ Carport / (Circle ttache or Detached?) Other sq. ft. / #6 Use of building c ,e9r ?r1CR-2 Describe work 1 #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. #Bedrooms # Bathrooms Type of Heat Purchase Price$ #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 i IlC O 00 �s \15� `' o APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 eachl No. Toilets CIRCLE FUEL TYPE: Gas (=1ectrr-i Bath Basins �S Heatpump, Other( a 40 Bath Tubs 3`� No. Units Fees Showers ` Furn BTU Hot Water Htr .3 �� Heatpumps Laundry Washer 3`7 Vent Systems Sinks 3 Spot Vent Fans Floor Drains No. Boilers/Compressors _ Laundry Basins D_ HP Dishwasher � No. Air Handling Units �TL j Disposal _ cfm# Urinals No. Fire Protection Systems Other Auto. Fire Alarm Sys 50,00 0 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 L Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $100,ft, 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 OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ tt 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 OF THE 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 Lit X BY DATE DATE ».. .. ": TOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: 3 r4" pe of Const: 5tJ Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check S Plumbing Fee / n Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor <6,ffb Violation Fee Site Inspection Building State Fee Other Other a Building Valuation: 1/-� '� SZ TOTAL FEE s