HomeMy WebLinkAboutBLD93-00449 Final SFR - BLD Permit / Conditions - 2/21/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
r P.O. Box 186 Shelton, Washington 98584 4
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRtTE MECHANICAL MOBILE HOME
Footings-Setback ` date by Ffbbons
date Sc.e- �Otjo by Gas Piping date b
Foundation Walls date by Set Up
date 6- - 3 by INSULATION date by
BG/SLAB Insulation Floors Final
date -Z3 by L date(")V, lb cr by e- date by
FRAMING Walls FIRE DEPT.
date _ q-a —5 y ` date by
PLUMBING date ALL /p- - by --J OTHER
Groundwork date b3
date I b y
D.W.V. WALLBOARD NAILING
date q-20- /-�:) by date[0-/4-'�'3 byU
Water Line FINAL INSPECTION
date c/ 2CD --�r -3 by if date /� by date by
A L.L C� h O S,G!
A �0— h L i n
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MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORRECTION NOTICE
Job Location 6 1�1-��-o wq
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
Jn(,LL -4,-�- J0 t2v C--,40 orc,01A e— 2j�2�, =4r44
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L-L''4-7-5 f- Z>�A' j"( 4-y 4:� 1)
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTH�R W9RK +
6� .� �
L) Call for re-inspection when corrections are made before continuing
7 Make correction, items will be checked on next inspection
1OKto r� n I1ot ►Z,
Department
Inspector L)
104 COOT Flo IrHt _ , T— Lol
Date Checklist Prepared '
MASON COUNTY BUILDING DEPARTMENT
PLAN REVIEWER AND INSPECTOR CHECKLIST
1991 WSEC AND V&IAQ CODE COMPLIANCE
Permit Number 9-'�-ay Address /✓E P/Il e d Ze2)a /tG _ Sq. Ft. o4<v
Name on Permits! , 7.0m P M04"'-' Contractor/Phone#3 AR
Compliance Method: "'�%) Prescriptive (Option) ( ) Component ( ) Systems Analysis
Date #A 10 f OUNDATION
Insp. Rev. R_! 4-he r roclA )D rea V_J9e _n ��shop.
Slab:R-� xt.foundation down to frostline/slab bottom;or interior 24"top of slab& tzontal. adiant under entire.)
( ) ( ) Below grade exterior wall insulation: R-
( ) ( ) Crawlspace ventilation: (1 sq.ft.NE&A50 sq.ft.floor area-cross vented) r
FRAMING V
Standard ( ) Intermediate ( ) Advanced
Woodstoves and/or fireplaces: (6 sq.inches combustion air supply duct with damper direct to firebox.) �� 1
Standard air Seal: (Bottom plate/subfloor,rim joist/mudsill,window/door frames,penetrations condition to non-condition.) (e J
Attic ventilation (i sq.ft.hTA/150 sq.ft.ceiling area) I- 00__�_/SD: t/'_3
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.LQL&m(Intermittent system manual&auto controls/sone less than or=to 1.5 at.1 WG)
o' CS
INSULATION �l /
( ) ( ) Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6" n
above batt insulation)
Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.)
Wall insulation(above grade) R- (Batts face stapled)
( ) "(-A) Wall insulation(below grade-interior) R- (Batts face stapled)
( ) ) Vapor retarders on walls (Faced batt,or 4 mil poly or perm.paint.-circle one) f °
( ) ) Rim joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly.) y(\�
�I
Vaulted ceiling insulation R- (Vapor retarder&1"air space)
d
FINAL 13�
( ) T ) Floor insulation R- %,5 6 (Substantial contact w/surface,supports less than or=to 24"OC,not blocking vents.) N I
( ) -'(-I) 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.)
( ) '(4 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: C/c°Gr7`Y/G, Gt /l mG�/1� h P�7LP�y's
( ) �►) 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.)
( ) 4 ) Penetrations(All exterior wall and ceiling penetrations sealed to drywall-plumbing,exposed beams,wall receptacles,fans,recessed lights.)
( ) ( ) Ceiling Insulation R- (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. Insp ce for- Verify window
information during field inspections. Include skylights, glass doors and all other glazing on this form. Use rough opening
area for calculations.
Date
ize Quantity Area S . Ft. U-Value Manufacturer Rev. Ins .
U // VAOE
A ` a XfO I � �
E 40 50 P/C 1 I a / 41c) I e�
G " 4Z° xro a A rp F
goy
N�ICR--f'i A361
G
060 1
'"� J C)(I _ I Total glazing area: t_
l Total conditioned area:
a
Percentage glazing: Verified:
i103� DOORS
Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity, U-value,and manufacturer. Inspector-
Verify door information during field inspection.
Date
Type/Quantity U-Value Manufacturer Rev. Insp.
i R �g(n cry
Signature of Building Inspector: Date of Final Inspection:
WASHINGTON
EIKERGY Building Record WSEOContract# 91-119--hmerrt B
CODE
PROGRAM For Site-Built Residential Buildings Heated by Electric Resistance or Heat Pumps
CLASSIFICATION
� (please check one) (please check one)
i New Building ❑Addition over 500 sq. ft. Nsingle Family ❑Duplex
I
Jurisdiction: /V1 X (!7 f ❑Multifamily ❑Zero Lot Line Home
❑Planned Unit Development
please check one: ❑ City County Permit# O 4f
FI le I D#(if different from Permit
CONSTRUCTION
A. Site Information B. Owner Information
Address .Ie Owner owner at time of qq%puchonreceivesutifpayment)
m-) e z:r
City 10e Fa 1/ Zip Company
Assessor's/Property Tax# or attach legal description): Address J 44// ,-n 0.,?Cy Q
A,6/ �0 C-)C). �LJ City �t/C Statea_ AZip 8/77
Servicing Electric Utilit Phone ( )
C. If Single Family, Zero Lot Line or D. Duplex E.If Multifamily(R-1)
Planned Unit Development o First Duplex Unit s .ft. Total#/Bld s.
Total Conditioned Floor Area s . ft. Second Duplex Unit s .ft. Total#/Units
HEAT SOURCE
A. Primary Space Heat Type B. Secondary Space Heat Type C. Water Heat Type
(check one) (check att 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
'
COMPLIANCE INSPECTIOENFORCEMENT
WSEC Compliance Method For Heat Pump Only:
Prescriptive Path Built to the Electric Date of Permit Application
ElComponent Performance Requirements of WSEC? Date Building Permit Issued System Analysis ❑ Yes ❑ No (If -v78—
Date of Insulation Inspection /'O
❑ Yes, Date of Final Inspection —�/ - 9�
utility may offer incentive.)
1 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 that t e WSEC checklist for this building is on file.
: 4
4R�A�Ad,c t -
S at a of Building Official or Authorized Representative Date
■ Building Department: Return white copy to Kathleen Skaar,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.
WSEO#94-015 2-94
rKclo . �5 havu-1 :ram vca dory- U) he.Lo cLr�
Trc"Y- Pe.m��ro Permit No.
MASON COUNTY
m® BUILDING PERMIT APPLICATION
PLEASE PRINT
#1 Owner i V\o A Phone# aO(o 3)7-)
Site Address NE d Fire District #_ 2
City& -ASK St WA Zip gFSlq�-
Directions to Job Site \ r &k c
yr
nn ME 79 Cal fz v
Ar��^2e +�1 r�sf1Q_ LIl
Owner Mailing Address Po tax S 3S
City &OQ\:V- St V\)A Zip 4 y
Lien/Title Holder_ �)aYYNQL
Address
City St Zip
#2 Contractor Name 2 4 Contractor Reg#
Address Expiration date
City St Zip Phone
#3 If septic is located on project site, include records . 6:�e c"
Connect to Septic. Public Water Supply Well rYX`�-55
(If residential, proof of potable water is required) r��'nrwis
#4 Parcel No o� - - C)
Legal Description tir '4 Section 11 Towr-)sh A c23 1 ci iol -� Intl
#5 Building Square Footage: \4
a
1st F1 1,:10-_ 2nd F1 3rd F1 Loft Basement /
Deck_ #bedrooms9� #bathrooiiis J Garage Carport
Garage/Carport: Attache or Detached
Other r -V n�c�u� Ulv
#6 Use of building �E Farce\u lm� Describe work
#7 Type of Job: New r/ Add Alt Repair Demolition
Re-Roof Bulkhead Other
#8 MOBILE HOME IN ORMATION
Model Year Make Model
Length Wid Serial No.
#Bedrooms #Bathro ms Type of Heat
#9 Any water on or adjacent o property: saltwater lake
river pond we land 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 Scale:
Name of Fronting Street Date:
APPLICANT TO DRAW SITE PLAN BELOW.
w
a �r
s
qn- ,
` �
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
^� 1
` PT'umbinq Fixture ',�2 Fee Mechanical Fixtures
No. 3 Toilets Primary Heat Source (circle type)
Bath Basins �— Elect heatpump/other
Bath Tubs
Showers _ C N0. FEE
iHot Water Htr _Furn
I Laundry Washer Heat Pumps
(Sinks Vent Sys (Central)
Floor Drains _.kvent Fans (Spot/Whole i
Laundry Basins Boilers/Compressors
Dishwasher HP
Disposal Air Handling Unit
Urinals cfm.
Other Fire Protection Systems
Permit Basic Fee Ao
TOTAL PLUMBING
Other
Gas Outlets .Hookups
Wood/Pellet/Gas Stove
Other
00
Permit Basic Fee
TOTAL MECHANICAL $
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 ANYTIME AFTER WORK
IS COMMENCED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. DEPARTMENT.
t
�JWNE X BY
DATE — DATE
Return permit to: Department of General Services
P P
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
FOR f1FFICrbr, IISE ';ONLY; Accepted Yy Date
1
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond Hold
Approval
Planning:
�1m S
E vironmental Health: 4wtocl �t M
AT
Building Plan Review:
Occupancy Group:_ \
Fire Marshal:
Other:
FEES
11Special Conditions : II 11Site Inspection I II
II II I' - 'I
II II IlBuilding Permit
it II I' I
II 11 11Violation Fee I II
II 11 I
II II 11Violation Investigation Fee I II
II II IlPlan Check I ai9.c� II
II II I 1
II II II Plumbing Fee I
11 11 1' 1
II II 11Mechanical Fee
11 II I'
11 11 IlWoodstove Fee I II
11 11 I � I
II 11 IlBuilding State Fee 1 11
IlBuilding Valuation: 1i it TOTAL 1 �pD SV 1