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HomeMy WebLinkAboutBLD94-00766 Cancelled SFR and Garage - BLD Permit / Conditions - 11/5/1997 MASON COUNTY PERMIT Mason County Bldg, III 426 W. Cedar NULL & VOID BY EX ATION ' RO. Box 186 Shelton, Washington 98584 DATE gY F1I.D94-0766 1'At3fE1_ NIF 598 TOONERVIti_E DR BE FAIR RANDY SPF -.CF 372--/H-36 11AHERt AND CONS IRM11 ION i7 —:'fi ifi i k I r 14 of tf I "�, . , �; '.�' Itiiltp �} L.I iiE-{�i{; � _s Feft { Ff a � {YPf AM4itiY( Rt {t?tIE REt1 t{"'f sli4t fiilttj)pIT Hi' hA(t ! 111E of It'll, it tit Is;,� , ,#i� Ft► IIr•6 . L.}{ { t�;flf 4p of I twkil.' ; �04 ',f. 1U 1;'f;t. ,4 ;o,..tA I k f f'I ts_ I h3 �k*00 t - 3 ON fa Uf!l,?�4 ttt r it. t I1�. . �i L.±tlUit'; l tl`.tl 4r F{+'► f f:'. fit Fit III If i i iI ti }' ,i N k G t 1 ar; i II-IN 1 d !f N 11 t' 4 r 4 1 t{ ,, �;t i :ik?j ., f i{r.tF�l I { Fd1 t'J I r i � � ui Tu..�.�-�..t �—.--#..�4 ,111111 i fit- { I a•f f __ _. .. ._ _ fill i i t f '• Rif' +� t•,iii., � ;3 { t{ 00t. 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IM I I i I •-�•.-:.��::�:-xc�:y�,�:.,�-��:��-�- ��...T-���.,•_�� ._ _<�>,-s::•>.�,��_����,��r�;.Y�:-:�,:���_�•._M,_._•-� .tom..•y�.:-:,=>:rs.:.....xw ..�_� :�.-�. -..•-x_ __.�.�.... :-�t-_.. ..._ .. .. _,-. iR ;{EiT pEStRTPI{�ii#�RE�fHENii AND 6ARA61' i E 400Rv 1.It QRIVE It;' Nitf 99 RIM ►iEHI1t{t li 11 if Ujfihit� iRiM {f {r fF;t}Iki Ri + f ; '. +tii.i RRt+ `:'lilt: i,i dart 06 Coll't{RUf1109 At1{HitkL'iu 4', #At i;'AjtNFfD !ft{N'1W IRf 4CA . aR If FttNsivtlt{ittH gR tl(iRF 1`r f ffirirth i40 ff1F unkr I:: 01milfOIJIl fvirtfN;I OF i'i101I911A1104 tit i4off {S A FRo.iipf`,S igtiPtiI!ON UifH{N flit Id! RAt M.,10it fFM6} f0gpf+=IIit0 M 1 Bf r { :•t; �(t kif!t�.! i'lltfittkti f4k GI t#St !;t'[ 77aa e / {i is p �•9 ;�It i k .� ,,�" r�._...;�. t 1i1'.+1�a. _ D A{{.' i t It sake r,.,: b , .t/' 1 f:OHPL,1 ANCf 10 Al FAC11E.0 CON11T3 I I4>i>k ri I I -Of OU I HE F) MASON� ����� COUNTY ���U U ����� U��U�~���K �U ^� � '� �K � U�� U `� " ° "" ^~~ ~~~ " ~ ,�~ .�~ ~~ " ~ " " Mason County Bldg. U| 426VV. Cedar P.O. /�x l�� Shelton, Washington. �� ^^^^.. ."° °. .6�..~^D, ""^^". .|[l��.^^il 98584 ][ �� �'::ij 11::::1, !1::;;!: il"I'll 11- FOR INSPECTIONS CALL 427-9670 BETWEEN 5pm AND 8am 427-7362 OLD94-0766 PARCEL : 223024290142 PLAT - DIV : y BLK : ? LOT : ? JOB ADDRESS : NE 590 TOONERVILLE DR BELpAIR OWNER : RANDY SPEECE 572-2856 CONTRACTOR : TIMBERLAND CONSTRUCTION 372-2836 LEGAL ; Tr 14 of S[ CLAS3 OF WORK NEW DEDR : 5 , OATH 3 TYPE OF USE ' . ' ' ; SF STORIES ' ' ' ' ' . ' . 2 OCCUP , GROUP ' , , : ? DLOG , HEIGHT ' , . 0 . 0 f t TYPE OF CUNST' ' ; ? FIREPLACES ' ' , , . 0 0CCVP , LOAD ' , . . : Q W00OST0VES , , ' , : 0 DWELL . UNITS , . . . ; 0 PARKING SPACES : 0 INSPECTION AREA : 1 SHORELINE? . . . . ; N SETBACKS-------------- TOILETS ' , , . ' ' . ' 3 FUEL TYPES---------- DOIL[RS /C0MP---- MOBILE HUME-- FRONT . . . E 200 ' 0ft OATH OASINS . ' ' , . ' ; 1 : /HP / / / ; 0-5 HP ' : 0 REAR . . . .W 5 , 0ft BATH TU8S . . . . , ^ ' ' 1 3-15 HP . -. 0 MODEL : ? SIDE ( 1 ) . N 20 . 0ft SHOWERS . , . . . . ' ' . ' : 1 FURN ( 100K BTU - 0 16-30 HP , ; 0 -M8KE------ SIOE (2) . S 20 ' 0ft WATER HEATERS ' , , , ; l FURN )=100K BTU ; Q 30-50 HP ' - 0 ? SHRLINE . ? 0 , 0ft CLOTHES WASHERS . , : 1 FURN - FLOOR ' . . : 0 50+ HP . .- 0 -YEAR------ AREA ---------------- KITCHEN SINKS . . , . ; 4 HEAT PUMP ' ' . . ' ' : 0 ? LOT SIZE . . : ? FLOOR ORAINS . , . , , 0 VENT SYSTEMS ' ' ' : 0 EV8P COOLERS : 0 LENGTH - 0 BUILDING . . . : 2487sf DRINKING FOUNT , . , - 0 VENT FANS ' . , , ' , ; 4 HUODS , . ' ' . , . . 0 WIDTH , ; 0 BASEMENT . . . ; 0ef LAUNDRY TRAYS . . , . ; 0 DOMES . INCIN ; 0 -SERIAL#---- DECKS . . . . . . : 0sf DISHWASHERS ' . ' ' ' ' : 1 AIR HANDLING UNITS-- CUMML , ZNCIN : Q ? 8AR/CARP ; G 500ef GARB DISPOSALS ' ' ' ; 0 <= 10000 cfm. : 0 RELUC/R[P8IR ; 0 AT/OT . : 8 URINALS ' ' , ' ' ' , . . . : 0 ) 10000 cfm , : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PK0ECT U[SCKlPTlUN'KESlUEHC[ ANU G8RAS[ YK0J[CT iUC0l0N'T00N[8YIii[ 08IYE 1/2 MIL[ 8N KISHT 8[HIN0 8[IS[ H8US[ H/68E EN TRlM / THIS P[HNIT 8[ E H 88 DAYS. 0R I CONSTRUCTION 0K A0KK IS SUSPEN0[U FU8 A P[KI8U 0F 180 UAYS AT A S INSP[CD8N WITHIN THE 180 DAY P[R0U. FINAL INSP[CT0N MUST 8[ kyP80Y[U 8EFVK[ OWNER OR AG[NTy DATE: , z;r-lqq | 80_yKMT. r m: 03/31/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED | -~--~ MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 1 L - - - - - - - ---------- -- -- -- - - -- - - - - - MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 p:::a' il:::::: U�;;• p'�rll ::II:: ...IL... il::;. �C::;U I1''II IC:::U ::II:: ...I►.... -1f.:: tl;::7i II''dl 'F.:::;; Case No . : BL094-0766 For : RANDY SPEECE 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 Fire Marshal . 2) Subject to conditions of Resource Lands and Critical Areas (RLC ) ` �ecklist . 3 ) 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 w ys . 4 ) All approved plans re required to be on—site for inspection purposes . If inspection is called for and plans a e not on site , Approval WILL NOT be granted . In addition , a Re—Inse co pect ' n fee in the amount of $30 . 00 per hour (minimum 1 hour) will be charged and must ected by this department prior to any further inspections being performed or approval granted . i 5 ) P RSUANT 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 INSPECTIONS . 6 ) OWNER MUST SHOW PROOF OF SATISFACTORY WATER SAMPLE PRIOR TO TEMPORARY /PERMANENT OCCUPANCY OF THE RESIDENCE . 7 ) FLNL'REQUIRNSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC -------------------------------------------------- MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I � I ' I - I I I I I I f MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 8 ) 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 Coun R Lions must be approved by Mason County prior to constructio 9) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS RE-Dt JIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE . CONCRETE MECHANICAL MOBILE HOME Footings-Setback date 7 — e by (,_,, Ribbons date by Gas Piping date b Foundation,Walls date by Set Up date w by INSULATION date by BG/SLA19 Insulat' n Floors Final date — ` FRAMING by date �2 — 2 - y �•' by �..--.J date by Walls FIRE DEPT. date i by r date by date /z — 2— , y by ( J PLUMBING OTHER Groundwork Attic dated — 'Z — b el.� date by D.W.V. WALLBOARD NAILING date 1 (— 2 -Z by t J date by Water Line FINAL INSPECTION date ( — Z -z by date by date by t O)o 11 LIB /, L //--22 V cA Lw- t„--L 4; s �r i s t /Z _ _ c SheQ-r mac_ J - 1 MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-967000RRECTION NOTICE Job Location 5 pia 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 corr ted to gain code co pliance� Z G1 e� a J /15 (- i r - f' AV (' L = G�t _c-{ l�Ol� G- 1 G� I IO You are hereby notified that the above corrections shall be made BEFORE PROCE DING WITH ANY FURTHER WORK l�r>,�x °�N +S - ;1't ej)/ot l c , I S '.r )c_ a l !K w '�! _-�. C.I c���c.(, b�o�K �,.,.� }.� �- ❑ Call for re-inspection when corrections�re made before continuing ❑ Make corrections, items will be checked on next inspection ❑OK to Department Date Inspector moo 0 NnT i MnV THIV­ T A , MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location !q --0 7�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 P(-D L)1 e-�r'X Cx k r 4-V,%,e- kt>h. 2 , fCA/-k nf),� dbLon koL2 t-aei e: koo S, e 4f 0-ems Y— e ` , 41 P(1)0 1'Y<- CI/X t n S w �C t, JUl doLVrl Af?)E4✓t S '!�. l 1 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING ITH ANY FURTHER WORK + ❑ Call for re-inspection when corrections are made before continuing ���J'f 4- ❑ Make corrections, items will be checked on next inspection OK to 1 C)e'-L.0 u /0. 1u K ell k16 Departlment Date Inspector ■ so NnT MOOV THI T L* wi MASON' COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 9858r (206) 427-9670. CORRECTION NOTICE Job Location N1012y- r->7,0r._1 n a- o � r� -ifr( ( ( ,- r-S . v� 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 r h e- Z er fGLe- <-rc ✓y?0,r- bo ,l' Cis ILLe- 2 :n �e�:�� earn cr bd�°5 4� co.� nct{-.�.•-,S You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection OK to ,Dz�zAr e-f I-q- e-D rf- :::kr¢- Department Date Inspector moo * NnT Mo *V THI' ' T A MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location 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 �r C L'S Pa r c-1� 4 1 `�. & '1 a Gt r/bar T. J`C C-Z►,nh c_�v .c31�7 4�'1 DOS'T �6 en IQO1 il- 4:-e- . re-j M'4 J4 1l s / �oL k—\ Ol> CJ c !1 (.�Gt `/5 4 j LCTn uL. W' frC�a•c You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection Department Date z( ZJ �`i Inspector I ■ ift s N()T MOOV THFF- T A MASON COUNTY BUILDING III 426-W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location � 2 ( LL, q�- 0766 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 complian l a. / / ,44 C2-) I q tl� -73 Li You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK all for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OKto Department ' ",- Date Inspector ■ oo N6T MOV THI T Page No. 2 CASE HISTORY FOR CASE NO.: BLD94-0766 RANDY SPEECE NE590 TOONERVILLE DR BELFAIR 12/02/94 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDC140 Fr/Pt/Mc/Pen Inspection 11/28/94 11/29/94 11/29/94 CORRECTIONS: FAIL LW 11/30/94 LAW 1. REMOVE THE FLEX BOOT OFF THE RETURN AIR DUCT IN THE GARAGE, THE MINIMUM REQUIREMENT IS 26ga. METAL TO MEET 1 HR. REQUIREMENTS. 2. SEAL DUCT WORK AT ALL JOINTS. 3. FINISH DUCTING THE BATH FAN IN THE BASEMENT. 4. FIRE BLOCK AT STAIRWAY. 5. PROVIDE H CLIPS ON PORCH TRUSSES. 6. MAKE A POSITIVE CONNECTION BETWEEN THE POSTS AND BEAMS ON THE REAR PORCH. 7. PROVIDE DOUBLE STUDS UNDER GIRDER TRUSSES IN THE HOUSE. 8. FIRE BLOCK AT 10 FT. O.C. AND AT THE CEILING LEVEL ON THE FURRED OUT WALLS IN THE BASEMENT. 9. PROVIDE SOLID BLOCKING OVER THE BEARING WALL IN BASEMENT AS PER PLANS. 10. THE ANCHOR BOLTS ON THE EXTERIOR SHEAR WALLS ARE REQUIRED TO BE ON 24 INCH CENTERS, AS PER ENGINEERING. BLDC140 Fr/Pl/Mc/Pen Inspection 12/01/94 12/02/94 12/02/94 NOT ALL OF THE CORRECTIONS WERE MADE FAIL LW 12/02/94 LAW FROM THE LAST LIST. CORRECTIONS 8,9,11,12 AND 13 STILL NEED TO BE MADE. CORRECTIONS 12 AND 13 THE CONTRACTOR STATE HE WILL PROVIDE NEW ENGINEERING SHOWING THESE DO NOT HAVE TO BE DONE. OK TO SHEETROCK AT OWN RISK. BLDC145 Insulation inspection 12/01/94 12/02/94 12/02/94 WALLS AND FLOOR/CEILING OVER GARAGE OK. DONE LW 12/02/94 LAW Page No. 1 CASE HISTORY FOR CASE MO.: BLD94-0766' RANDY SPEECE NE590 TOONERVILLE DR BELFAIR 07/26/94 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 05/31/94 05/31/94 KW BLDA100 Approved For Issuance / / / / 07/20/94 DON] TW 07/20/94 TW BLDA500 (F) Issue building permit / / / / 07/22/94 DONE TW 07/22/94 TW BLDA600 File Possession / / / / 07/20/94 GIVEN TO KATHY FOR ISSUANCE DONE LW 07/20/94 LAW BLDA940 RLC Checklist Completed / / / / 03/30/94 DONE AHB 06/06/94 MMS BLDB110 Structural Plan Review 06/06/94 / / 07/20/94 DONE LW 07/20/94 LAW BLDB120 WSEC Compliance Review 07/13/94 / / 07/13/94 SENT TO LARRY WATERS IN STRUCTRUAL DONE TDH 07/14/94 TDH BLDB130 Planning Review 05/31/94 / / 06/06/94 DONE MMS 06/06/94 MMS BLDB135 Addressing / / / / 06/02/94 DONE GMM 06/02/94 GMM BLDB200 Environmental Health Review 06/28/94 / / 06/30/94 RETURN TO STRUCTURAL WHEN DONE THANKS DONE HLS 06/30/94 HLS WARREN BLDB210 Water Adequacy / / / / 07/19/94 condition, Form letter sent 06/30/94 COND HLS 07/20/94 HLS requesting that once the well is installed, a water sample must be processed analyzed for fecal coLiform. PLEASE PASS ONTO ENERGY WHEN FINISHED. 7 / kou" A. � f S� e No. 1 CASE HISTORY FOR CASE NO.: BLD94-0766 RANDY SPEECE NE590 TOONERVILLE DR BELFAIR 2/94 on Description Req/ Schd/ End/ Action Notes Disp By Update Upd Sent Done Done Date By --- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 05/31/94 05/31/94 KW BLDA100 Approved For Issuance / / / / 07/20/94 DON] TW 07/20/94 TW BLDA500 (F) Issue building permit / / / / 07/22/94 DONE TW 07/22/94 TW BLDA600 File Possession / / / / 07/20/94 GIVEN TO KATHY FOR ISSUANCE DONE LW 07/20/94 LAW BLDA940 RLC Checklist Completed / / / / 03/30/94 DONE AHB 06/06/94 MMS BLDB110 Structural Plan Review 06/06/94 / / 07/20/94 DONE LW 07/20/94 LAW BLDB120 WSEC Compliance Review 07/13/94 / / 07/13/94 SENT TO LARRY WATERS IN STRUCTRUAL DONE TDH 07/14/94 TDH BLDB130 Planning Review 05/31/94 / / 06/06/94 DONE MMS 06/06/94 MMS BLDB135 Addressing / / / / 06/02/94 DONE GMM 06/02/94 GMM BLDB200 Environmental Health Review 06/28/94 / / 06/30/94 RETURN TO STRUCTURAL WHEN DONE THANKS DONE HLS 06/30/94 HLS WARREN BLDB210 Water Adequacy / / / / 07/19/94 condition, Form letter sent 06/30/94 COND HLS 07/20/94 HLS requesting that once the well is installed, a water sample must be processed analyzed for fecal coliform. PLEASE PASS ONTO ENERGY WHEN FINISHED. BLDC110 Footing inspection 07/25/94 07/26/94 07/26/94 CONDITIONAL AAPROVAL: COND LW 07/27/94 LAW 1. THE PLANS REQUIRE 344 BAR EACH WAY IN THE 36 INCH SQ. BY 12 DEEP FOOTING OFF THE GARAGE ADD 1 MORE BAR BOTH WAYS. 2. THE PLANS REQUIRE REBAR IN THE INTERIOR FOOTINGS, THE REBAR IN THE EXTERIOR FOOTINGS NEEDS TO TIE WITH THE BAR IN THE INTERIOR FOOTINGS. BEND CORNERS AND PROVIDE 15 INCHES OF LAP SPLICE. OK TO POUR WHEN DONE. BLDC116 Below Grade Insulation 08/11/94 08/12/94 08/12/94 PASS LW 08/15/94 LAW BLDC120 Underground plumbing insp. 08/02/94 / / 08/04/94 1.Dwv test requires a full 10 ft head of FAIL DPB 08/04/94 DPB water per code. 2.All branch lines are required to be full. BLDC120 Underground plumbing insp. 08/08/94 08/09/94 08/09/94 NO TEST ON PLUMBING FAIL LW 08/10/94 LAW BLDC120 Underground plumbing insp. 08/11/94 08/12/94 08/12/94 NOTE TO THE CONTRACTOR: THE UNDER SLAB PASS LW 08/15/94 LAW DWV CAN NOT BE UNDER A FOOTING, WHEN DIGGING THE THE INTERIOR FOOTING OFF SET IT AS PER THE PLANS, BLDC140 Fr/Pl/Mc/Pen Inspection 11/21/94 11/22/94 11/22/94 HOUSE NOT READY FOR THE INSPECTION, THE FAIL LW 11/23/94 LAW ELECTRICAL NEEDS TO BE SIGNED OFF BY L&I AND OK'ED FOR COVER AND ALL EXTERIOR PENETRATIONS NEED TO BE SEALED. THE PLUMBING IS OK, OK TO DRAIN WATER FROM THE SYSTEM SO THE PIPES DO NOT FREEZE. I MASON COUNTY BUILDING DEPARTMENT 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE OWNER py ` TELEPHONE -?_c>i„— 99,(—Z- OWNERS MAILING ADDRESSx COMPLIANCE INFORMATION TYPE OF PROJECT:XNEW RESIDENCE()ADDITION()REMODEL ()OTHER AREA(SQ.FT.) 1ST FLOOR 362 2ND FLOOR j -.3 HEATED BASEMENT Note: Heated basements must be insulated and finished to meet minimum energy code requirements. TOTAL SQUARE FOOTAGE OF CONDITIONED (HEATED) AREA `Z 41C7 COMPLIANCE METHOD: ��. .v��►�S R 19 + 91 TNER►�A�C PRESCRIPTIVE PATH -- circle option -- 1 II III IV V VI VII VIIIreR,oZs�Eu�� Glazing percentage i'2.T1�l� (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 HEATING SYSTEM: ELECTRIC RESISTANCE O Electric Central Furnace O Electric Wall Heaters O Baseboard Units ( ) Radiant Panels ( ) Other OjHER FUELS Heat Pump ( ) Gas Furnace ( ) Oil Furnace ( ) Other ( ) Boiler System (indicate type) Make Model Size AFUE HSPF VENTILATION SYSTEM: Spot and Whole House ( ) Central Ducted System () Integrated with Furnace () 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. MASON COUNTY BUILDING DEPARTMENT 1991 WASE INGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE RESIDENTIAL REQUIREMENTS (NEW CONSTRUCTION, ADDITIONS, &REMODELS) THE PROCESSING OF YOUR APPLICATION CAN BE EXPEDITED IF YOU PROVIDE COMPLETE AND DETAILED INFORMATION. YOU ARE ENCOURAGED TO COMPLY TO THE 1991 WSEC BY UTILIZING THE APPROPRIATE PRESCRIPTIVE PATH FOR YOUR PROJECT. THIS WILL ALSO HELP EXPEDITE MATTERS. THE FOLLOWING INFORMATION MUST BE PROVIDED: 1) A complete window schedule must be submitted with your WSEC compliance information, even if a window schedule is included on your building plans. Note that sliding glass doors (patio), french doors, and any door with 50% or more glass in it is considered a window with the area (sq.ft.) being the entire units rough opening dimensions. 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. This window schedule must minimally show the dimensions of the rough openings of each window, the model (casement, horizontal slider, single hung, awning, picture, etc...), and the units tested U-value. 2) If you are complying to the WSEC by prescriptive path and are using the area weighted averaging method you must include your calculations (worksheet). 3) Indicate type of hot water heater, location of exhaust fans (bathrooms, laundry, kitchen), the location of your whole house fan, and all insulation levels (walls, floors, ceilings, and slab) on your building plans. 4) Indicate how you will comply with the requirement for introducing fresh air to each habitable room on your building plans (window frame vents, through the wall ports, or an integrated system with your furnace). 5) If your home is 2,000 square feet or less, and using electric resistance heating (excluding heat pumps) a $900.00 "Payment to Owner at Time of Construction" will be issued from your service utility after the final County inspection has passed. Using electric heating or a heat pump in your home???? You may want to talk to your service utility regarding Long Term Super Good Cents incentives. Call PUD#3 at 426-0777 or PUD#1 at 877-5249. If you need assistance in showing compliance to the WSEC please ask for the brochure "What You Need to Know to Meet the Energy Code"; call the state energy office at 1-800-235-8248;or call and make an appointment with Dan Fitchitt or Debbera Coker of the Mason County Building Department at 427-9670. OWNER'S NAME: ►any i k-.� �kckt - 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. r 1 �. 2`4 K' T 3b f� y�0 5 d � S tea,-su+� ,o�.►.� I b i TOTAL WINDOW AREA '3 45 DOORS BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT. o y O�;i -3"b" 7z TOTAL DOOR AREA b0.o3 r 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE PRESCRIPTIVE PATHS OTHER FUELS (GAS, OIL, HEAT PUMP) HVAC/ Glazing Wag Wall int' Wag ext4 Slab' Equip. %Floor Glazing Doors Vaulted Above Below Below on Option Effic. Area U-Value U-Value Ceiling2 Caling' Grade Grade Grade Floor Grade I. Mad. 10% 0.70 0.40 R-30 R-30 R-15 R-15 R-10 R-19 R-10 II. Mod. 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 R49 R-19 R-10 R-19 R-10 ... .;,x)'1ta ildlf. 0•#� fi-3Q' . . : =3 E # 4 -tQ. t•1 HtQ Reference case V. LDW 21% 0.60 0.40 R-30 R-30 R-19 R-19 R-10 R-19 R-10 VI.' Mad. 25% 0.50 0.40 R-38 R-30 R-19 R-19 R-10 R-25 R-10 VII.y Mod. 30% 0.45 0.40 R-30 R-30 R-19 R-19 R-10 R-25 R-10 1 Mwwrsxn requwsmrnrta for each option listed. For example,d a proposed design has 5 Floors over aawi spaces or exposed to ambient air conditions. a glazing ratio to the oondoior»d Moor area of 19%,it dull comply with all of the requirsments of tl.a 21%gisz ng option(or highter), Proposed ds"ne which cannot 6 Required slab perimeter iautatwt shall be a weer resawt material,manufactured most the specAic requiewrrnts of a listed option above,may calculate oompkance for is intended use,and installed according to manufacturees specifications. See by Chaptom 4 or 5 of the code. section 602.4. 2 Requirernorts applies to all ceilings except single rafter or joist vaunted ceilings. 7 These opt Torus shall be applicable to buildings leas than three stones. 'Add denotes Advanced Framed Glinq. 8 This well mutation requirerrwn denotes R-19 wall cavity insulation plus R-5 foam 3 RequWament app"cabio only to single rafter or pat vaunted ceilings. sheathing. 4 Below grade wail shah be nsuialad either on the exterior to a minimum level of R- 9 Minimum HVAC Equprn ant efficiency requirement. 'Low'denotes an AFUE of 0.74. 10,or on the intent to the same level as walls above grade. Exterior insulation 'Mod denotes an AFUE of 0.78. 'High'denotes an AFUE d 0.88. nstalbd on below grade web shall be a water resistant rnalenw,manufactured for is wtanded use,and watalled according to the manufacturer's spsclicatiorn. See section 6022 ELECTRIC RESISTANCE HEAT �g wall wall int' Wall exte Slab• %Floor Glazing Doors Vaulted Above Below Below on Option Area U-Value U-Value Ceiling2 Ceiling' Grade Grade Grade Floor Grade I. 10% 0.46 0.40 R-38 R-30 R-21 R-21 R-10 R-30 R-10 11. 12% 0.43 0.20 R-38 R-30 R-19 R-19 R-10 R-30 R-10 III. 12% 0.40 0.40 R-38 R-30 R-21 R-21 R-10 R-30 R-10 11f .. 1!! ►<z« ».141..:.:, 1i2� ..;. . r3$ kQ< .. .RISi:>>`:'.<:'a>[:..... 1$ .:...X.3t Referents 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 8-38 R-30 R-21 R-21 R-10 R-30 R-10 V11.7 25% 0.35 0.20 R-38 R-30 R-19+R-51 R-21 R-10 R-30 R-10 Vill.? 30% 0.32 0.20 R-38 R-30 R-19+R-51 R-21 R-10 R-30 R-10 1 Mwwm um requraments for each option listed. For ezampio,4 a proposed design has 5 Floors over crawl spaces or exposed to ambient am conditions. a glazing ratio to the oondtiored door area of 19%,it shall omply with all of the requwernerts of the 21%gkzxg option(or hyhter). Proposed deoign a which cannot 6 Required siab ponrrefer insulation shall be a water resistant material,manufactured cowl the speclic requwemerta of a listed option above,may calm We oorrpkanoe for to intended use,and installed according to rtanuladunr's spec/ieations. See by Chapters 4 or 5 of this code. section 6024 2 Requwerrrrta applies to sU ceilings except single rafter or foist vaulted calings. 7 These options shall be applicable to buildings Vass than three stones. 'Add donates Advarwed Fnrtad Coiling. 8 This wall insulation requirement denotes R-i9 wall cavity insulation plus R-5 foam Rsquinmenl applicable o,*to single rafter or pat vaulted ceilings. sheathing. 4 Below grade wale shall be wauluad either on the sxlernr to a minimum level of R- 10,or on the interior to the same level as wails above grade. Exterior insulation installed on below,grade wale shall be a water resistant material,manufactured for is intended use,and in staled according to the manufacturer's specifications. See wotion 6022 t Date Checklist Prepared -7—t--N-?� MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1991 WSEC AND V&IAQ CODE COMPLIANCE Permit Number CN—O74& Address YIE `. 7C� 1 rr��y',IIQ� Sq. Ft. -7 Name on Permit Contractor[Phone#_ 37z" 2�8-36, Compliance Method: (1�"Prescriptive �4Option) ( ) Component ( ) Systems Analysis Date FOUNDATION Insp. Rev. t ty/ Zynerwla l br-eu iC c� ct.r t Lt vim: ( ) ( ) Slab: R-�(Ext.foundation down to frontline/slab bouot6lc interl 24"top of slab&horizontal. Radiant under entire.) ( ) ( Below grade exterior wall insulation: R-_LQ fk) ►1-'—t� t✓� w " ( ) ( ) Crawlspace ventilation: (I sq.ft.hLEA/150 sq.ft.floor area-cross vented) FRAMING ( ) (­c) (K) Standard ( ) Intermediate ( ) Advanced ( ) ( ) Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.) ( ) Standard air seal: (Bottom plate/subfloor,rim joist/mudsill,window/door frames,penetrations condition to non-condition.) Attic ventilation (1 sq.ft.NEA/150 sq.ft.ceiling area) Spot exhaust fans: (4"exhaust-ba(h/laundry 50 cfm @.25 WG;kitchen 100 cfm @.25 WG. Vented out with dampers.) ( ) ( Fresh air ve[ltilalion: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.) Whole house exhaust fan: cfm(Intermittent system manual&auto controls/sone less than or=to 1.5 at.1 WG) ---------�-I-- INSULATION ( ) 60 Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6" above bait insulation) ( ) .('V) Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.) ( ) ( Wall insulation(above ) R-grade) �nl atts✓�g �_(B face st led) ✓WJ Yl ( ) . Wall insulation(below grade-interior) R- (salts face stapled) ( ) 0-* Vapor retarders on walls (Faced batt,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&I"air space) FINAL ( ) ( o u.,e f' Ines►nc .;�� A t vv�LA_vtn Floor insulation R- 1�I (Substanti�tact w/surface,supports less than or=to 24"OC,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(Joints sealed;mechanically fastened with a minimum of 3 fasteners.) ( ) (X) Pipe insulation R-3 (Hot and cold lines in unconditioned areas-service or recirc.see Table 5-12). 64) SHW heaters: (NAECA label,separate power or gas shut-off,on R-10 pad if electric in unconditioned or on concrete.) ( ) (>C) Heating system type:���sr='i— ���v+�, kATG. Kw 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 ceitimmne(rations sealed to drywall-plumbing,exposed beams,wall receptacles,fans,recessed lights.) ( ) ( ' Ceiling Insulation R-J (Insulate&weatherstrip access,baffle to prevent spillover-no cardboard) ( ) (� Vapor retarder paint if a vapor retarder was not installed when insulation was installed. 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 Quanfity Area S . Ft. U-Value Manufacturer Rev. Insp. 40 I n vtu4 c ZC-140 Gib o qc' it U v v u(1,C II I Z� Coo Lt'33(f VI 1 LP Total glazing area: Total conditioned area: Percentage glazing: t�/ 1 •3 c) Verified: DOORS Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. jnapector- Verify door information during field inspection. Date Type/Quantity U-Value Manufacturer Rev. Insp. Signature of Building Inspector: Date of Final Inspection: wwwomm- -iEEl1AP,V-,YGAUKCartYENlfAP5 t!fiAPCGLAV,Y A r B r c r D r E r F r 4 I I \ -- ---------- ---------------- yyy ------------�- '/��(�' �'�A�'TT ------------- � � � 71 1 72 T iW ��yi----- - 77 7, 7. 1 77 V 70 1 m z "- -- --- -MA�ON --- 1 . 7 7 3N : 1 t N 1 � p2W z dl j ERICKSIIN �' a'► I A KIE I I 1 WD- ' I —I------------- ------------- T-----i----- -----------1-\ -- --�'--1� ---- --- - -- s I I i S l I 1 1 1 I N 1 BLACKSMITH I I I I LAKE I • 1 6 I ____z6 i I 7 7 1 2 1 ' ! 1 I 7► + -----+b -------- ---- -- -- --- - ----- - 1 7 J • I • 1 I • 1 10 1 10 1 II -__-------_---- \1 11 1 12 I 1 j l I 1 I I Mq}q I t?•� I � I m 1 I , Lr) Q- - Q 1 1 I � I I I I I T W 1 I I I 1 W W I I I W C/) 4 I �. 4 � I 1 ©COPYRIGHT 199J ROADRUNNER MAPS 1 j fE I I 1 ALL RIGHTS RESERVED I I I V I I 1 I 1 I F+ I I I I t J • ' • 1 • 1 • 1 IO ' ---__10111 _____1 11 1 12 f ----------- ------- ---------•^-----'� ---------- ----f'-- -- -- ---=---- -t 1• J It I 17 1 1• 1 1 r--------___- 1 Is 1• ti 16 1 U I 1� 1 li I 1 I I ( I I v I I 1 5 5 I I I 1 r�l vtqle tr- �• I ------ --------- - --- 1------- -------- Q I 5F 1 1 4; I AMP POND C i I a 1 1 5 I 1 [[ 'Cl L&k- 1 I I A• o.vl -- I i P CN K€1 Sl1CKEll PON4 e ' )• 12 17 rlmr IT 1 1• I ' w. I 15��. r LA �. is 1 14 - - is • 2 1 LAR2 �I m 1 lam, 1 1 2 I 22 1 v r 27 1 L- 1 Girl Se Cam Lrl.RL- 1p* I A A B A D E F -qFF MAP R r - ' -- - - KVAMME CONSULTING - ENGINEERING DE.51GN DECEMBER 2, 1994 STEEE JACOBS COTTAGE STEEL INDUSTRIES 3311 BETHEL ROAD S.E. #04A-290 PORT ORCHARD WA 98366 PROJECT: SPEECE RESIDENCE PROJECT NUMBER' 94052 Mr. Jacobs, Per our discussion on 10/24/94, shearwall type "2" may use 1/2" diameter anchor bolts at 48" on center at the foundation, Please see the included revised shearwall table for clarification of callouts. Also, per our discussion, I have reviewed the use of web stiffeners at the central bearing wall. The reactions of these 14' long joists are such that web stiffeners are required. Joist blocking is not required at this wall. If you have any questions on this or any other project, please feel free to call me. SINCERELY t 2956041, t DALE A. KVAMME, P.E. _ At EXPIRES 5624 South Warner-Tacoma, WA 98409 -Telephone: (206) 474-3361 w N. 1 PROJECT NAME: SPEECE RESIDENCE PAGE OF PROJECT No.: 94052 DATE: 10/26/94 SHEARWALL TABLE TYPICAL SHEARWALL NOTES 1) 1/2" DIAMETER CINCH ANCHORS WITH 2-1/2" MINIMUM MINIMUM EMBEDMENT MAY BE USED IN LIEU OF 1/2" DIAMETER ANCHOR BOLTS SHEAR WALLS CAP MARK 230 1 USE 5/8" GWB BOTH SIDES, UNBLOCKED AT UNSUPPORTED PANEL EDGES, WITH NUMBER 6 SCREWS AT 7" o.c. , 112" ANCHOR BOLTS AT 48" o.c. , AND#8 TEK SCREWS AT STEEL TO STEEL CONNECTIONS AT 16" o.c. 300 2 USE 7116" MIN, APA RATED SHEATHING, BLOCKED WITH 18 GAUGE STRAPPING OR STUD BLOCKING AT UNSUPPORTED PANEL EDGES FOR EDGE SCREWS, WITH NUMBER 8 SCREWS AT 4" o.c. AT ALL PANEL EDGES AND 12" o.c. AT FIELD , 1/2" ANCHOR BOLTS AT 48" O.C. AND #8 TEK SCREWS AT STEEL TO STEEL CONNECTIONS AT 12" o.c. MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O. Box 186 Shelton,Washington 98584 (206)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION July 14, 1994 Luz Const. 8653 Bethel Burley Rd. Port Orchard, WA 98366 To whom it may concern: It has come to my attention that Larry Waters is requesting your assistance regarding your plan review. If you could please contact him Mon-Fri 8:00-9:OOam (206) 427-967011-800-562-5628 Ext. 285. After this permit has completed this review it will be ready to issue. Thank you advance. Sincerely, Uub�9 Christine Herth Building/Clerical cc: property file Tom Shearer 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 O� I #1 nert�►a�y l�, r�� �p� � Phone# 37Z-Z33�- ` j - 23i ite Address APnu�� �Q r)E 5 Id Toon e1w, I I � Dr wV E ire District# City 2 St W or Zip -7s Li Directions to Job Site I cx> u� `��►�E /7_ ►ur"_ CDa a,C' c' - 6W-EPA -mid I Owner Mailing Address '�• o, VS,,-, k9 Vb City Q.A-p-o"(L Zip 9 s52S Lien/Title Holder o�1 Address Clty St Zip #2 Contractor Name ra EbC-_Z .ava'b �t�iSTt2�J c�r►�s., Contractor Reg# t�H el�g2 Address 42cc., L;4-, Expiration Date City C>a-"a.¢2n. St Zip 9163 0. Phone# ct S1-Z314 #3 If septic is located on project site, include records. Connect to Septic. Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No. - QNAQ 22.302'4 2- " G O 1 jr Legal Description fe O 24,3Z #5 ^Building Square Footage: (existing/proposed) lUb 1st FI / "I 2- 2nd FI / )-;3 S 3rd FI / Loft/ Basement / Deck / #bedrooms / #bathrooms / `Z y Z Garage / 4-ck-_> Carport / (Circle(!ttache r Detached?) Other sq. ft. / #6 Use of building 'e71w1C.r`cf_ Ec%'Q�C-q- Describe work ':znk_rk_� F-A,+a ktn, t 1.\C Q Q Eo 2 EAy Cr4a eL.Rh_A PLAN #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 c,� APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW ro�! I Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, 1 Bath Basins J Heatpum Other —LBath Tubs �3 i s n Fees Showers 1 Furn BTU OW Hot Water Htr Heatpumps (000 _ Laundry Washer 3 Vent Systems Sinks co Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP 4—Dishwasher No. Air Handling Units _Disposal 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 I' 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 $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL - 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 B MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FR THE BUILDING THE BUILDING DEPARTMENT. DEPAR NT. X OWNER X BY �J T1460ztf'kN0 CW57' DATE DATE [FOR OFFICIAL USE ONLY: Accepted by Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: !S jz,C� �0 Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check 3 (a 3 Plumbing Fee g% Ob Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor ,() Violation Fee Site Inspection Building State Fee �50 Other Other =Buildinguation: TOTAL FEE G� 3