HomeMy WebLinkAboutBLD93-01886 Final SFR - BLD Permit / Conditions - 2/28/1996 MASON COUNTY
Mason County Bldg. 111 426 W, Cedar
R0. Box 186 Shelton, Washington 98584
Hl 1 01 1 N hlq P 41/
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tillt,li I.. PAT !,441-flil 895-1110
1AfNIf'Ai, 1 ()k - OWNER tS CONTRAC'IFOR
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date ,u by t- Ribbons
date ;;i--/:- Y y by d- J J Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/5LAB Insulation Floors / Final
date by date _/y- J y by / date by
FRAMING Walls FIRE DEPT.
date - Z d- by e date b
PLUMBING date 2 2 by y
Attic OTHER
Groundwork date (o /`/- 9 e�l by
date by
WALLBOARD NAILING
D.W.V.
date 3 by date L /� by
Water Line FINAL INSPECTION
date C 3_�S'S y by date -� _ _ by (� date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I.cp 11_.N .JL K.... K..N :1. P41 Ci p F: 1 : M ::T "1"' FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND Sam 427-7262
ILD93-1886 PARCEL : 223107790481 PLAT : DIV: ? BLK : ? LOT : ?
IOB ADDRESS : NE 221 ANVIL LN BELFAIR
OWNER : PAT SMITH 895-1110
CONTRACTOR : OWNER IS CONTRACTOR
LEGAL : 1 112 TR 41 SURVEY 11/113 (6L lit)
CLASS OF WORK . . : NEW BEDR : 3 . BATH : 2 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . : SF STORIES . . . . . . . : 1
OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : 0 . 0 t t PRAT $ 372.11 NJP 02/14/94 35110 STFE t 4.50 NJP 12/04/94 350@1
TYPE OF CONST . . : ? FIREPLACES . . . . : 0 RADN ) 8.01 NJP 02/64/94 35#10
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 PICK $ 186.@@ NJP 02/14/94 35111
DWELL . UNITS . . . . : 0 PARKING SPACES : 0 P L A $ 51.@@ NJP 02/14/94 35611
INSPECTION AREA : 1 SHORELINE?. . . . : N M C H $ 45.0@ NJP 12/14/94 35111 TOTAL: 666.56 VAIULATI0N: 72161
IETBACKS-------------- TOILETS . . . . . . . . . . : 2 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME--
FRONT . . . S 5 . 0ft BATH BASINS . . . . . . : 2 : /ELE / / / : 0-3 HP . : 0
REAR . . . . N 5 . 0ft BATH TUBS . . . . . . . . : 2 3-15 HP . : 0 MODEL : ?
SIDE ( 1 ) . E 5 . 0ft SHOWERS . . . . . . . . . . : 2 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------
SIDE ( 2) .W 5 . 0 f t WATER HEATERS . . . . : 1 FURN >=100K BTU : 0 30-50 HP . : 0 ?
SHRLINE . ? 0 . 0ft CLOTHES WASHERS . . : 1 FURN — FLOOR . . . : 1 50+ HP . : 0 —YEAR------
IREA ---------------- KITCHEN SINKS . . . . : 1 HEAT PUMP . . . . . . : 0 ?
LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 1590st DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 3 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : 0sf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#----
DECKS . . . . . . : 0st DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS-- COMML . INCIN : 0 ?
GAR /CARP : G 440st GARB DISPOSALS . . . : 0 (= 10000 cfm. : 0 RELOC/REPAIR : 0
AT/DT . : A URINALS . . . . . . . . . . : 0 > 10000 cfm. : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
J E C T 0ESCRIPTI0N:RESI0ENCE
J E C T L0CATI0N:8ELFAIR T A H U Y A ROAD, TO BLACKSMITH LAKE, ROAD TO ANVIL RI6HT TO PROPERTY.
S PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRjegN AUTHORIZED IS NOT COMMENCED WITHIN 181 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
181 DAYS AT ANY TINE A F T E K IS ME D CE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAL INSPECTION MUST BE
ROVED BEFORE 8UII0IN 8 0 C C U
ER 0R AGENT:
Page No. 1 CASE HISTORY FOR CASE NO.: BLD93-1886 _
PAT SMITH
NE221 ANVIL LN BELFAIR
03/15/94
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
BLDA010 Application received / / / / 12/23/93 12/23/93 KW
BLDA500 (F) Issue building permit / / / / 02/04/94 COMP NJP 02/04/94 NJP
BLDA510 (F) Reprint building permit / / / / 02/04/94 COMP NJP 02/04/94 NJP
BLDA940 RLC Checklist Completed / / / / 12/21/93 DONE AHB 01/11/94 MMS
BLDS110 Structural Plan Review 01/11/94 / / 01/21/94 DONE DH 01/21/94 RDL
BLDB120 WSEC Compliance Review 01/21/94 / / 01/26/93 DONE DC 01/26/94 DLC
BLDB130 Planning Review 01/11/94 / / 01/11/94 DONE MMS 01/11/94 MMS
BLD8135 Addressing / / / / 01/06/94 DONE GMM 01/06/94 GMM
BLDB200 Environmental Health Review 01/26/94 / / 02/04/94 plot plan with designated reserve DONE CAJ 02/04/94 CAJ
submitted
BLDB210 Water Adequacy 02/04/94 / / 02/04/94 not necessary...replacement building DONE CAJ 02/04/94 CAJ
BLDC110 Footing inspection 02/14/94 02/15/94 02/15/94 EXTERIOR FOOTING ONLY. PASS LW 02/16/94 LAW
BLDC140 Fr/Pl/Mc/Pen Inspection 03/11/94 03/15/94 03/15/94 PLUMBING OK CORRECTIONS: 1. PROVIDE H FAIL LW 03/15/94 LAW
CLIPS IN GARAGE. 2. ADD STUDS AT THE
ENDS OF GIRDER TRUSS. 3. ADD STRAPS AT
BAY WINDOWS. 4. CAULK DUCT PENETRATIONS
IN FLOOR. 5. PROVIDE SPEC'S ON THERMO
PLY TO SEE IF IT CAN REPLACE 1/2 CDX
SHEETING. (SHEAR REQUIREMENTS) 6. FINISH
INSTALLING RIDGE VENT. 7. PROVIDE A
COMP. SHINGLE AT THE END OF THE ONE BEAM
IN CRAWL THAT BUTS TO FOUNDATION WALL.
8. ADD 1-16d NAIL TO FLOOR. RIM JIOST
ONLY NAILED 16 INCHES O.C. 9. PROVIDE
ANCHOR BOLTS WITHIN 12 INCHES OF THE END
OF EVERY BOARD. 10. PROVIDE BACK FLOW
PREVENTERS ON EXTERIOR HOSE BIBS. 11.
PROVIDE A 2 WAY CLEAN OUT ON DWV ON
EXTERIOR OF THE HOUSE. 12. INSTALL BATH
FAN DUCT.
,,-N< 5 4- u 10
.Con ecJ�eSS,
t
Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: BLD93-1886
PAT SMITH
NE221 ANVIL LN BELFAIR
02/04/94
No. Cond Title Wording of Stat Stat Stat Update Upd
Code Condition/correction Date By Date Date
--- ---- ------------------------- ------------------------------------------------------------- ---- -------- ---- -------- ----
1 5001 Flammable 8 Combustible The use, handling and storage of hazardous materials or / / 01/11/94 MMS
Liquids flammable and combustible liquids in xcess of 10 gallons is
not allowed with the p val the Mason County Fire
Marshal. X
2 5025 Sideyard Setback Proposed structure or any portion thereof greater than 301, in / / 01/11/94 MMS
height from grade line, maintain a minimum of 5' setback
fro=a !�ropq n easements and right of ways.
X
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORRECTION NOTICE
Job Location n 2--2 1 Ig n o, I G n
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
I. pi-W A 1� I vcs 3
k 2-
4-4
/jA
�' r43 a 7 1 J
e-r Gt I n Q/ ��� La '/ Cr
e-- 6.en r.--e q e- ?�-1 C)1' LP_ j 4-� fro _ r
r3LC L.J
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
❑ OKto nn
Department
Date &- 7 - S c/ Inspector L-
■ 104 O .NnT MOOV i H 1 - T, " ,* .
1
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORRECTION NOTICE
Job Location )SL-:D �3 ^ /69IL-1
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
Q�
-/ L ?
�J
Li 4 kc-
U L GYOl�c7 �C_ uS h CT t , n
�an -f l bs e, u.-�� -�G. ��►�► -I'I, �u r n u -��.U f!
�- ,k e cAl - 4� -S ci ; I
s -4 ar c 3 C---
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
b Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OKto
Department S:2
Date . — y Inspector L�
moos .NOIT MOV TH1� _ T,
" ,��
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORRECTION NOTICE
Job Location A LDS 3 - / �f(
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 c pliance
I y. r J
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
Department J,
Date Inspector
■ �� � .NOT ' MOOV THI - T ,
�
Date Checklist Prepared Ala 6j -
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE
Permit Number 3"1 oo(O Address E • API QnVd La4ie_ Sq. Ft. 15 U
Name on Permit M 1=F't f 4+ Contractor/Phone# `da 5-11 10
Compliance Method: Prescriptive (Option) ( ) Component ( ) Systems Analysis
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: /O• (1 sq.ft.NFA/150 sq.ft.floor area-cross vented)
/59V 1570 FRAMING <.23 — 1(0X 8 V errts shown o rA rlo-ns)
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.)
( ) (v ) Attic Ventilation (I sq.ft. EW150 sq.ft.ceiling area)/510 ,! 44(��SO � 13. 4
Spot exhaust fans: (4"exhaust-bath/laundry 50 cfm @.25 WG;kitchen 100 cfm @.25 WG. Vented out with dampers.)
Fresh air ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.)
Whole house exhaust fan:�b Cfm (Intermittent system manual&auto controls/sone less than or=to 1.5 at.1 WG)
INSULATION
( ) (v) Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6'
above batt insulation)
( ) (V) Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.)
Wall insulation(above grade) R-_q(Batts face stapled)
( ) ( ) Wall insulation(below grade-interior) R- (Batts face stapled)
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&1"airspace)
FINAL
Floor insulation R- ` (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 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.)
Pipe insulation R-3 (Hot and cold lines in unconditioned areas-service or recirc.see Table 5-12).
( ) (r ) SHW heaters: (NAECA label,separate power or as shut-off,on R-10 pad if electric in unconditioned or on concrete.)
( ) ( ) Heating system type: L-leC/71 L as
Lt Ir fvYr�c�C2�
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 ceiling penetrations sealed to drywall-plumbing,exposed beams,wall receptacles,fans,recessed lights.)
Ceiling Insulation R--38 (Insulate&weatherstrip access,baffle to prevent spillover-no cardboard)
( ) ( • 1 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 Quantity Area S . Ft. U-Value Manufacturer Rev. Ins .
a 3 U-Valoj
5C70 Yo o)e-
,5-6'36 /-7• -fre&C
a o 5-o SAE- /f io� c?0 M: ...kA
'�5-05-6 Pi G / awV-- Liu)t./
�50 50
e►' e r
_L
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. Spector-
Verify door information during field inspection.
Date
Type/Quantity U-Value Manufacturer Rev. Insp.
�,30Co B EA4 .3 t7oaM GOtz4—=
Z 8�a 8 FI R�Doo •2t� I rJSc�LA-��
Ld
Signature of Building Inspector: Date of Final Inspection:
f
Date Checklist Prepared
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
�rr 1991 WSEC AND V&IAQ CODE COMPLIANCE
Permit Number 7�"XZ Address N45 At�' � / � L�J Sq. Ft.Name on Permit 'aly/r/q i? Contractor/Phone#
Compliance Method: ( ) Prescriptive (Option) ( ) Component ( ) Systems Analysis
Date FOUNDATION
Insp. Rev.
( ) ( ) Slab: R- (Ext.foundation down to frontline/slab bottom;or interior 24"top of slab&horizontal. Radiant under entire.)
( ) ( ) Below grade exterior wall insulation: R-
( Crawlspace ventilation: (1 sq.ft.NEW150 sq.ft.floor area-cross vented)
FRAMING
Standard ( ) Intermediate ( ) Advanced
( ) / _ Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.)
( ) (V) Standard air seal: (Bottom plate/subfloor,rim joist/mudsifl,window/door frames,penetrations condition to non-condition.)
Attic ventilation (1 sq.ft.IEA/l50 sq.ft.ceiling area)
( ) (r) Spot exhaust fans: (4"exhaust-bath/laundry 30 cfm @.25 WG;kitchen 100 cfm @.25 WG. Vented out with dampers.)
( ) (r ) Fresh air ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.)
Whole house exhaust fan:150 Cfm(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(Exhaust in unconditioned space&supply in conditioned space.)
Wall insulation(above grade) R-I—(Batts face stapled)
( ) ( ) Wall insulation(below grade-interior) R- (Batts face stapled)
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&1"air space)
FINAL
Floor insulation R-t130 (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 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.)
( ) (r) Pipe insulation R-3 (Hot and cold lines in unconditioned areas-service or recirc.see Table 5-12).
SHW heaters: (NAECA label,separate power or gas shut-off,on R-10 pad if electric in unconditioned or on concrete.)
Heating system type: oecly-'-G Fc'—r ed el-
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 light-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.)
( ) (r) Penetrations(All exteriors wall and ceiling penetrations sealed to drywall-plumbing,exposed beans,wall receptacles,fans,recessed lights.)
( ) a ) Ceiling Insulation R-a a (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. 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.
QSO b • �� IN
_o 17.
odd
s 40
o
0 4/-0
Total glazing area: �.JU
Total conditioned area:
Percentage glazing: 9 ��- Verified:
DOORS
Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. IMpector-
Verify door information during field inspection.
Date
Type/Quantity U-Value Manufacturer Rev. Insp.
��(v8 e�ivT
Signature of Building Inspector: Date of Final Inspection:
MASON COUNTY BUILDING DEPARTMENT
1991 WASHINGTON STATE ENERGY CODE
AND
VENTILATION AND INDOOR AIR QUALITY CODE
OWNER �)^\-, C}w�� TELEPHONE CK) 7 J^ NO
OWNERS MAILING ADDRESS 2 Uq y �v�nY"� \,��. (,,cU �•O- uq- `)O . �C�3
COMPLIANCE INFORMATION
TYPE OF PROJECT: "EW RESIDENCE()ADDITION ()REMODEL ()OTHER
AREA(SQ.FT.) 1ST FLOOR IS9 n 2ND FLOOR HEATED BASEMENT
Note: Heated basements must be insulated and finished to meet minimum energy code requirements.
TOTAL SQUARE FOOTAGE OF CONDITIONED (HEATED) AREA q 0
COMPLIANCE METHOD:
( ) PRESCRIPTIVE PATH -- circle option -- I II III IV V VI VII VIII
Glazing percentage (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:
EL��LE�TRIC RESISTANCE
JJlli�1 ���-lectric Central Furnace ( ) Electric Wall Heaters ( ) Baseboard Units
( ) Radiant Panels ( ) Other
OTHER 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.
OWNER'S NAME:_
WINDOW & DOOR SCHEDULE
WINDOWS
INCLUDE ALL WINDOWS, SKYLIGHTS, SLIDING GLASS DOORS, FRENCH DOORS AND\_ �,
STORE DOORS. ANY WINDOWS IN DOORS (LESS THAN 50% OF AR MUST BE
TAKEN OUT OF THE DOOR AREA AND PUT INTO THE WINDOW AREA THE
SCHEDULE.
BRAND MODEL U-VALUE QUANTITY SIZE \ TOTAL Q.
tj
c
5
TOTAL WINDOW AREA L `t-
DOORS
BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT.
�- G
TOTAL DOOR AREA
G1ON
!rRGY Building Record WSEOCm bxt# 1-19-Je7
For Site-Built Residential Buildings Heated by Electric Resistance or Heat Pumps
j a?:
.
(please check one) (please check one)
NANew Building ❑Addition over 500 sq. ft. Single Family ❑ Duplex
Jurisdiction: / 44,50AI ❑ Multifamily ❑Zero Lot Line Home
❑ Planned Unit Development +
please check one: ❑ City OUnty Permit# q 3 —/kkCe
File I D# (if different from Permit#) +
:: ..
A. Site Information B. Owner Information
Address Owner owner at time of construction receives utility ment
City Z-3eilra Zip a!-a:X Company
Assessor's Property Tax# (or attach legal description): Address 6q444 I'e
8' City r'cha state Zip C
Servicing Electric Utili y pUQ3 ___ Phone _3CvQ_ q —///C)_
C. If Single Family,Zero Lot Line or D. Duplex E.If Multifamily(R-1)
Planned Unit Development First Duplex Unit s .ft. Total#/Bld s.
Total Conditioned Floor Area 15qO s . ft. Second Duplex Unit s . ft. Total#/Units
.._._ ?
A. Primary Space Heat Type B. Secondary Space Heat Type C. Water Heat Type
(check one) (check all that apply) (check one)
❑ Electric Baseboard None Electric
❑ Electric Wall Heater ❑ Wood Gas
Electric Furnace ❑ Electric Baseboard ❑ Other (specify below)
❑ Electric Heat Pump ❑ Other (specify below)
❑ Other
...................
�WSEC Compliance Method For Heat Pump Only:
L+ Prescriptive Path Built to the Electric Date of Permit Application /p� -�—
❑ Component Performance Requirements of WSEC? Date Building Permit Issued
, Date of Insulation Inspection —a7a
ElSystem Analysis ElYes [INo (If yes
Date of Final Inspection
utility may offer incentive.)
I hereby certify that this building or addition has been inspected for the measures required
by the 1991 Washington State Energy Code (WSEC), that it is in substantial compliance with
the WSEC, and th a WSEC checklist for this building is on file.
gn ure of Building Official or Authorized Representative Date
■ Building Department:Return white copy to Gail Burris,Washington State Energy Office,P.O.Box 43165,Olympia,WA 98504-3165.
■ Owner or Building Deparment: Forward canary copy to the servicing electric utility to trigger WSEC compliance payment.
■ Building Department: Retain pink copy for jurisdiction's building file.
WSE0194-015 5-95
. . ----------- --
06/04/94 12:42 FAX 206 668 9333 BOISE CASCADE ��� BETHEL BLDRS R 002 004
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BCI® JOIST & VERSA-LAMO Products
Engineered to Build Reputations
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GENERAL
PRODUCT SPECIFICATION DIRECTORY REFERENCE
This directory is designed to provide a convenient, up-to-date refer- For the key to Federal Specification, gypsum wallboard and joint
ence to some of the products marketed by Gold Bond Building treatment product designations(Type, Form, etc.), refer to tablk>
Products, National Gypsurn Company, and to the ASTM and on page 7-
Federal Specifications with which they comply. i'his is to certify that the following materials comply in all respects
The General Services Administration has cancelled many Federal with listed specifications.
procurement documents.These have been superseded by ASTM
Specifications. Federal Specifications are listed for reference.
GYPSUM BOARD PRODUCTS
Product Description and Use Specification Standards
ASTM Federal
Reggular Gypsum Sheathing 1/2"tc be used as a sheathing for exterior!ype of 079 SS-L-300 Type II
Sheathing TT Jumbo constriction.
Fire-Shield 5/8'to o�used as the sheathing for fire rated ex'erior C79 SS-L-30D Type II
Jumbo Gypsum Sheathing type construction. Type X Grade X
Gypsum Wallboard, Regular or Fire resistant.Will take decoration after proper C35 SS-'L•30D Type III
Sta-Smooth surface preparation of interior walls and ceilings. _
Fire-Shield Gypsum Wallboard 1/2'and 5/8"gypsum wallboard with specially Processed core C36 SS-L-30D Type III
(Includes "G") highly resistant to fire.Meets Type X classification. Type X Grade X
Foil Back Gypsum Wallboard Standard gypsum wallboard with aluminum foil on backside C36 SS-L-30D Tyoe III
providing vapor retarder for interior walls and ceilings Form c
Sound Deadening Board 1/4"gypsum wallboard.Also usad in remodeling. C-36 SS-L-300 Type III
Durasan Vinyl or Fabric-Surfaced Gypsum wallboard with a vinyl plastic or fabric surface, C950 SS-L-30D Type III
Regular Gypsum Wallboard combines texture and pattern in colors.No decoration required. Class 3
Durasan Vinyl or Fabric-Surfaced Gypsum wallboard with a vinyl plastic or fabric Surface, C960 SS-L-30D Type III
Fire-Shield Gypsum Wallboard combining pattern color and texture. Type X Grade X Class 3
Durasan Armor Wall Gypsum wallboard with a heavy-duty,rigid vinyl surface. C960 SS-L-300 Type III
Wallboard Class 3
Grldstone Ceiling Panels 112'x 2'x 2',4'-grid panels with Fire-Shield G core C960 None
and vinyl laminate. Type X
Glass I
High Strength Ceiling Board 112'wallboard with core formulated to C36 SS-L-30D Type III
provide increased sag resistance.
Moisture Resistant Gypsum wallboard especially processed for use C630 SS-L-30D Type Vli
(MR)Board as a base for ceramic and other non-absorbent Type X Grade X
RRegular or Fire-Shield type wall tiles in bath and shower areas.
Exterior Soffit Board Gypsum wallboard with extra resistance to moisTre C931 None
Regular or Fire-Shield_ 'am tiaggir,g, Type X
1"Fire-Shield 1'hick,2 wide,for solid partitions,shaft C442 SS-L-30D 1 toe IV
Shaftliner walls and Area Se0aralion Walls, Type X G'ade-{
Durabase Wallboard 5/16 3/8",1/2",and 5/8"gypsum wallboard for printing rJ6 None
application or laminating base. _
Gypsum Lath, Fire-Shield 3/8"plaster base, 16"x 48". 037 SS-L•300 Type!
Grade K
Gypsum Lath, Plain 3/8', 1/2'piaster base, 16"x 48", C37 SS-L-30D Type 1
roll Back Gypsum Lath 3/8 1/2"x 16'x 48"plair gypsum lath with aluminum loil C37 SS-L-30D Type I
Lath on one side providing vapor retarder.
Kai-Kore 3/8",1/2"plaster base for veneer plaster system. C588 SS-L-300 Type VI
Fire-Shield Kal-Kore 112",5/8"veneer plaster base.Type X core, C588 SS-L-30D Type VI
(includes "G") Type X Grade X
INTRODUCTION 3 AW11
t3uyLine 1 i7
Description
Core Thickness/Type Width/Edge ,Lengths
Sta-Smooth Gypsum 1/2 4 6
Wallboard, used with Sta- Regular Sla-Smooth thru
Smooth loint Compound, 16'
forms a drywall system offer-
ing maximum joint strength.
Beveled taper edge configu-
ration relieves joinl de(ormi- 1,2,FSW-G 4' 6'
ty problems. Type X 5/8"FSW-G Sta Smoolh thru
5/8'FSW 16
Mf:Board(Moisture Resistant 1/2" 4' 6'
Board) is a wallboard spe- Regular Tapered lhru
cially processed for use as a 16'
base for coramic and other
non-ahsorbent will tiles in
bath and shower areas. The 4, 6
board has tapered edges so 1/2'FSW-G
joints above the area to be 5/8"FSW G Tapered Ihru
tiled can be treated in the ypc
usual manner. Fac',ng paper
5/8'FSW 16
is colored light green.
1/2" High Strength Ceiling 4 6
Board is designed to resist Regulai 1/2" Tapered thru
sagging equal to 5/8"gyp- 16,
r' sum wallboard, Installed
perpendicular to framing,
span can be up to 24"o,c.
Can be decorated with spray
textures and will support
insulation
�, 2,
C;ridstone Ceiling Panels have Type X 1/2' G
a fire resistant Fire-Shield C 7h
core with a 2-mil textured ---
vinyl laminate surface suited
for interior or exterior appli-
cation in exposed grid sys-
r terns.
GYPSUM WALLBOARD PRODUCTS 55
II' -- - - -------------
---------- - --- --- ----------------------------------------------- ----
Permit No.
MASON COUNTY b
BUILDING PERMIT APPLICATIONR-=3 Ll >0 �w`v
M26 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 Q �
PLEASFP NUJ
Em
#1 ner�)LIU
Phone#
e AdWess as G Fire District#
w^a— St Wes . Zip 91$'S4$'
tions to J(W Site ^
Owner Mailing Address S Ll y Z{ �(�,n�v�. `� t L►.�.
City 90t-�sz St-WA-, zip C/Y! t(�
Lien/Title Holder
Address O5c
City S,l��►-��.\�. St LQ zip
#2 Contractor Name f�� � � Contractor Reg# OL` MK-*z r,&c.J
Address 7�!{Ll q 9C�0.1. a,.-,L- L+ Expiration Dated/__g
City St LA-1)& Zip 6 3 66 Phone# 4OZ17$-11/a
#3 If septic is located on project site, include records. V
Connect to Septic?_�<_Public Water Supply Well /{
Connect to Sewer System? Name of System TT
(If residential, proof of potable water is required)
#4 Parcel No.Z2�31 o - ))I - 0t( a/
Legal Description IJu`1 Yv uU—)YS, a L< pe, 2b 1J
2 w ."-16 V.--, W'
#5 Building Square Footage: (existing/proposed)
1st FI //S9 D 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedroo / #bathrooms /
Garage / �l�10 Carport / (Circl :Attached r Detached?)
Other sq. ft. /
#6 Use of building ` v. Describe work `� L
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price$
#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 w t— ��
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
_ou Sc�° 3a' 3-It UU
2 ,5 '7
00
4 ! t
i
i
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
b
— I
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Z Toilets CIRCLE FUEL TYPE: Ga Electric,
?Bath Basins Heatpump, Other
Z Bath Tubs No. Units Fees
Showers Furn BTU
Hot Water Htr Heatpumps
Laundry Washer 3 _ Vent Systems
!Sinks Spot Vent Fans
Floor Drains No. Boilers/Compressors
t Laundry Basins HP
I Dishwasher No. Air Handling Units
Disposal cfm#
6 Urinals No.. Fire Protection Systems
D Other Auto. Fire Alarm Sys 50,00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No.. Other
Gas Outlets J
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 r,q
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 CHA S SHALL BE THEREWITH. NO CHANGES AL i=M WITHOUT
MADE WITHOUT FIRST OBT INI PROVAL FROM FIRST OBTAINING APPR AL HE BUILDING
THE BUILDING D TM DEPARTME
X OWNER ` X BY
DATE l Z/��� �Q`� DATE
FOR OFFICIAL USE ONLY:Accepted by: C) lk4A Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: S NIYI Y41iFM "s;J Z R S U��Gnil �&V�z�1
Environmental Health:
'Building Plan Review 1
Occupancy Group:_ Type of Const:$�
Fire Marshal:
Other:
FEES
Special Conditions:
Building Permit
Plan Check (o
Plumbing Fee S>'
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor $.Ob
Violation Fee
Site Inspection
Building State Fee $�
Other
Other b ��
Building Valuation: TOTAL FEE