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BP12157 131 I City of Blair Building Permit Detail Permit #: 12157 Issued: 6/27/2005 Completed: 12/15/2005 Location: 10101 Crystal Lake Drive Owner: Matt and Jessica Olsen Address: 2266 Hickory Phone: 426 4735 Blair, NE 68008 Permit Fee: 755 Issue Fee: 15 Deposit Amt.: 200 Receipt #: 14706 Section: Township: Range: Subdivision: CRY-LK-EST Lot: 6 Block: 2 Story; 4 bedroom (none in bsmnt.) 3 car attch grge. exit into grge off of entryway. Unfinished bsmnt walk out; 2 & 1/2 bath fin. 3/4 bath RI in basment. Deck off of rear. TSF: 4821 TFA: 2652 Contractors Henderson & Sons Inc dba Henderson General Contractor Henton Trenching, Inc. Plumbing Subcontractor J & M Plumbing Company Plumbing Subcontractor Metro Electric Co. Electrical Subcontractor Metro Electric Co: Electrical Subcontractor Standard Htg & AIC Inc Heating Subcontractor Remarks 7/1/2005 DEM Sent copy of permit. Brandy Inspections Date 6/30/2005 7/25/2005 9/12/2005 9/15/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/18/2005 10/18/2005 10/18/2005 10/18/2005 10/31 /2005 12/15/2005 12/15/2005 12/15/2005 12/15/2005 By DEM Footings DEM Electrical Temporary Service DEM Plumbing Groundwork DEM Septic -Laterals & Drainfields DEM Plumbing Rough-ins DEM Framing DEM Electrical Rough-ins DEM Mechanical Rough-ins DEM Electrical Rough-ins DEM Mechanical Rough-ins DEM Plumbing Rough-ins DEM Framing DEM Electrical Permanent Service DEM Plumbing Final DEM Final Inspection of Project DEM Electrical Final DEM Mechanical Final Type: Residential -New Construction Valuation: 170000 Permit # P1435 P1370 E2328 E2257 M1320 Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Pass Issued 12/19/2005 9/8/2005 10/17/2005 7/20/2005 10/17/2005 BUILDING PERMIT APPLICATION ~~~ ~~ Jurisdiction of City of Blair, Nebraska Permit Fee: 218 South 16th Street Issuance Fee: i'~~ D L7 X74 ~ ~ ~ 1215 7 Recei t #: ~ ~d ' ~~ Blair, Nebraska 68008 p 2) 426-4191 • Fax (402) 426-4195 Permit Deposit Receipt #: ~~ ~D ~ ~ ~~~ ° a Issue Date: CP ' ~7 "0~ Type: ~/,D~,J ~~,(~i ~i~~ JOB ADDRESS ~ ~/ ~/ LEGAL 1. DESCR. ~ Q/ ^ SEE ATTACHED SHEET OWN R ._ 2. ~ ¢~ f' ~ MAIL ADDRESS ~ ~ ~ ~/ WORK/CEOLL PHONE ~ ' ~~ CONTRACT R `3, z>~ MAIL A DRESS ~IP ~ L~ ~ ~ o ~y~ ~j~I,OME PHONE ORK/CELL PHONE 9 ~5~ 4. Class of Work: ~ EW ^ ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT ^ UNFI N ISHED BASEMENT 5. Describe Work: a ~'~ ~~ fp ~D !J~'~DO?~tjJ .Gh / / / ~ - ~Lt'tC'~O CGI a ~X~~iz~ Ctrl a rlo e ~ a ~l `~~~~~.1 ~ aa~-~n`~• .~ 6. Valuation of Work: $ ~ 7~ ~Q%, ~© Total Sq. Footage pncmding easement and Garage): Total Finished Area: ~~~ Floodway Q Yes 7. FIOOdplain: Fringe Q Yes O No Q No Dev. Permit BFE Elev. Cert. 8. Current Zoning: ~~ Site Plan Attached Complete Plan Attached ~ 9. State Fire Marshall Re wired: Yes o q ~ ~ Approximate Completion Date ~C11>.`L ~ /.~-.-~ 10. Special Use Permit Required: Q Yes [~No Inspections Required and Fees Utllities 11. Variance Required: Q Yes ~lo Sewer Water Service 12. Minimum Setbacks: Front _,~~ Side ~~- Rear ~s ~ ~ Ic Remote 13. Sidewalk Required: ~ Yes ~l No Waiver Approved Stop Box Card it in NOTICE Fo ' gs p Separate permits are required for electrical, plumbing, heating, ventilating and air RIOR TO TAPING) conditioning, and septic systems. By my signature below, I acknowledgethat payment of the building permit application tee does not constitute issuance of this building Fr ' g M' permit. I further agreethat construction covered bythis permit application shall not be ~ commenced until I have received a copyofthis application form signed bythe Building Ins ector EI c ric I ~ p . I hereby agree to perform the proposed work in accordance with the specifications set -in Fix forth above and in accordance with the codes/ordinances of the City of Blair and the State of Nebraska.lunderstandthatthispermitisvoidifworkisnotcommencedwithin 1~6~lays or is ryot~or~p~etec~within 2 years of date of issue. T.._.._~."...,.... Per ervice TORE OF DATE h nic ? Ro -I ~~! Comment: --MFEf IBC;1RC;iPCIMCAN6N€CC~DERE~UIREM~NTS SLEEPING R04MS BELOW THE FOURTH STORY~ANp IN,~ASEMENTS ARE W. REQUIRED TO HAVE AN EGRESS W1ND0 PI mbin Gr ork .~ WHEN PROPERLY VALIDA;FCD (IN THIS PERMIT POUNDS PRIG: Blalr, NE y R~• 8/96 r r - PLUMBING PERMIT APPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: ~~" ~ / ~ ~~J CATI O N P 1435 OD Permit Fee: $ ~~• JOB ADDRESS /~ ~ ~ ~ 1. OWN6B~/Ana ~, MP~ADDRESS ZIP PHONE 2 CONTRACTOR IL ADDRESS PHONE - LICENSE NO. 3• Class of Work: O COMMERCIAL PRESIDENTIAL NEW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: ~• Comments: PLUMBING PERMIT FEES Modular Home ...................... $15.00 Type of Fixture No. Kitchen .................................. $8.00 x Bath ....................................... $8.00 x Rough-In Bath ....................... $4.00 x Slop SinWLaundry Tray ......... $5.00 x Water Heater ......................... $3.00 x Outside Water Faucet ........... $3.00 x Drinking Fountain .................. $3.00 x Water Service ........................ $10.00 NOTICE Sewer .................................... $10.00 I hereby certify that I have read and examined this Groundwork ...........................$10.00 application and know the same to be true and correct. All Septic Tank & Laterals $10 00 _ ~ ~ ~ ' d~ provisions of laws and ordinances governing this type of .......... . _ work will be complied with whether specified herein or not. Lawn Sprinkler System ......... $10.00 The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local Sprinkler System ......... .......... $30.00 law regulating construction or the performance of (Commercial) construction. Gas/Water Piping System (Commercial) ................. ........... $30.00 - Permit Issuance Fee ............. $15.00 ~~• 0 d SIGNATURE OF CO TRACT R OR UTH(~RfZED AGENT (~ ~ bS TOTAL ~~ DATE Current License on File Yes O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT comment: Approved By: ~~ ~~ POUNDS PRTG: Blair, NE Rev. 4/9a ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit E Application Date: / ' ~ '' Q~.Z- 2257 ~' j ~ ~ Permit Fee: S ~`'' JOB ADDRESS ~ ~ ~ 01 a~/ 1 LEGAL ~ ~ p SEE ATTACHED SHEET DESCR. 2 OWNER ~ ILA SS / i/_ ZIF „/ij W ~1~ O ~ ELLPHONE ORK/C G~ ~ 3 CO T~ MAIL ADDRES PHONE HOME PHONE WORKICELL PHONE 4. Class of Work: EW RESIDENTIAL p EW COMMERCIAL O REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work: 6. Current License on File Yes O No O NA Completion Date ELECTRICAL PERMIT FEES New Service Fee = (Amp Fee + $2,00 per branch circuit) 1-100 Amp Fee ..........................:. $ 13.00 Upgrade Existing Service ...... $10.00 ~ Q 101-200 Amp Fee ............................ $ 18.00 IV • Temporary Service ................ $10.00 201-300 Amp Fee ............................ $ 30.00 Fire Alarm S stem $10.00 y ................. 301-400 Amp Fee .................:.......... $ 42.00 Signs ..................................... $15.00 401-500 Amp Fee ............................ $ 55.00 501-600 Amp Fee .. $ 67,00 .......................... Miscellaneous Apparatus ......$11.00 601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00 701-800 Amp Fee ............................ $ 92.00 801-900 Amp Fee ............................ $105.00 Commercial/Multi-Family and All Upgrades: 901-1000 Amp ................................. $117.00 # of Circuits x $2.00 IF OVER 1000 Amp Amp Fee 1st 1000 Amp Fee ....................... $117:00 Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total New Residential: (Finished Area) NOTICE Single/Two Family Dwellings I hereby certify that I have read and examined this sq. ft. x .045 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Modular/Manufactured Homes ....... $30.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority Receptacle/Switch Outlets to violate or cancel the provisions of any other state or local Fixtures x $.75 law regulating construction or the performance of Smoke Detectors x $3.00 construction. Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) x $3.00 '~ ) Power Apparatus (220 Volts) ATURE OF CONTRACTOR OR A RIZED AG S IG N # Apparatus X $3.00 - ~ I 1 ~ ~, I~/ Permit Issuance Fee .............$15.00 ~~` ~~ DATE TOTAL ' WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG: Blair, NE Rev. 11/99 t ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit E 2 3 2 8 Application Date: /D 3~" ~~ Permit Fee: $ JOB ADDRESS / GC.1 ~~ 1 LEGAL O SEE ATTACHED SHEET DESCR. =-- OWNER r M LADDRESS ZIP HOME PHONE 2• o ~~ WDRKICELL PHONE 3• CONT TOR //~~ AILADDRF~,S ~~ ~i ~~ PHO on~ ~ ~ ~ HOME PHONE vim( ~/ [Y WORK/CELLPHONE 4• Class of Work: ~i1QEW RESIDENTIAL ~ NEW COMMERCIAL p REMODELING/ADDITIONS O UPGRADE SERVICE 5• Describe Work: ' y ~~ 6. Current License on File ~'es [] N p NA Completion Date ELECTRICAL PERMIT FEES New Service Fee = (Amp Fee + $2.00 per branch circuit) 1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ...... $10.00 101-200 Amp Fee ............................ $ 18.00 Temporary Service ................ $10.00 201-300 Amp Fee ............................ $ 30.00 y ................ Fire Alarm S stem $10.00 301-400 Amp Fee ............................ $ 42.00 Si ns $15.00 g ..................................... 401-500 Amp Fee .,.,.. $ 55.00 ...................... 501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11.00 601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00 701-800 Amp Fee ............................ $ 92.00 801-900 Amp Fee ............................ $105.00 Commercial/Multi-Family and All Upgrades: 901-1000 Amp ................................. $117,00 # of Circuits x $2.00 IF OVER 1000 Amp Amp Fee 1st 1000 Amp Fee ....................... $117.00 Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total New Residential: (Finished Area) NOTICE Single/Two Family Dwellings 3~ o~~~~ ~~~" I hereby certify that I have read and examined this sq. ft. x .045 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Modular/Manufactured Homes ....... $30.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority Receptacle/Switch Outlets to violate or cancel the provisions of any other state or local Fixtures x $.75 law regulating construction or the performance of Smoke Detectors x $3.00 construction. Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) x $3.00 ~` Power Apparatus (220 Volts) SIGNATURE OF CONTRACTOR OR LiTHORIZE AGENT # Apparatus x $3.00 ' ~I ~ q 1 0 ~~• Q~ Permit Issuance Fee ............. $15.0 DATE TOTAL .WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: 1~ ~~ POUNDS PRTG: Blair, NE Rev. 11/99 MECHANICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 13 2 0 Fax (402) 426-4195 M (402) 426-4191 Application Date: / ~ `~ ~~ ~~ Permit Fee: $ JOB ADDRESS ~ ~~ 1 . OWNER ~ / ~ ~ F C7a J J.,~ ,,MAIL A DRESS ~~~~ ~ ZIP ,, r~~ PHONEy, ~~ / [ Ff' t ~ / MAIL ADDRESS .. PH E . 2. CONT TO ~~y/ LICEN SE N0. 3. Class of Work: O COMMERCIAL ~iESIDE TIAL ~EW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4. Describe Work: ~° ~~ Central A/C Tons MECHANICAL PERMIT FEES °~~' ~~ Furnace BTU/H Forced Air/Heat Pump Systems -Per Unit Commercial/Residential (New) ............................ ........................ $25.00 # of Units A/C ®. ®(~ Air-Conditioner Unit -Per Unit Furnace Commercial/Residential (New) ............................ ........................ $10.00 Forced Air Systems/Air Conditioner Unit Replacement Per Unit Commercial/Residen tial ................... $10.00 Completion Date: Refrigeration Units/Coolers/Lines/Compressor - Per Unit Commercial (New or Replacement) ...... ..:.................. $10.00 Comments: Appliance Vent/Fans ...............................$10.00 ~®• Boiler ....................................................... $15.00 Duct System ............................................ $10.00 /~~~ ~~ Gas/Air Outlets .................. x $2.00 NOTICE Radiant Heat Systems ............................ $25.00 I hereby certify that I have read and examined this application and know the same to be true and correct. Al l provisions of laws and ordinances governing this type of Modular Home $15 00 work will be complied with whether specified herein or not . ......................................... . The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construct nor the performance of Permit Issuance Fee ............................... $15.00 ~~ construction. ~ TOTAL ~ ~° ~~ \\ SIGNATURE OF CONTR ,OR OR AUTHORIZED AGENT ~~ ~~ ~d~ Current License on File ~s O No O NA DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: - -/~-~~ POUNDS PRTG.~Blair, NE Rev. 4/98 PLUMBING PERMIT APPLI Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 Fax (402) 426-4195 (402) 426-4191 Application Date: ~~ CATI O N P 1370 Permit Fee: $ ~~ ~ ~ JOB ADDRESS ~~ / (~/ .-if~~~/ A \ B v ~ < 1 . OWNER /~/J ~i ~~ /~ MAIL ADDRESS ~~ ~ ~ /. P, E , , `P O ~ _ CONTRACTO ~ ~ MAIL ADDRESS 2 PHONE LICENSE NO. . 3• Class of Work: O COMMERCIAL IDENTIAL EW O ADDITION O ALTERATION O REPAIR O REPLACEMENT 4• Describe Work: ~ ~~ ~~ ~~ Comments: PLUMBING PERMIT FEES Modular Home ...................... $15.00 Type of Fixture No. Kitchen .................................. $8.00 x -~ ~• ~+~ ~Q Bath ....................................... $8.00 x I ~ ay Rough-In Bath ....................... $4.00 x ~~ 00 ~ Slop Sink/Laundry Tray ......... $5.00 x - ~3 Water Heater ......................... $3.00 x -- " s ' a D ~ Outside Water Faucet ........... $3,00 x (l Drinking Fountain .................. $3.00 x Water Service ........................ $10.00 NOTICE Sewer .................................... $10.00 I hereby certify that I have read and examined this Groundwork ........................... $10.00 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Septic Tank & Laterals .......... $10.00 work will be complied with whether specified herein or not. Lawn Sprinkler System ......... $10.00 The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local Sprinkler System ................... $30.00 law regulating construction or the performance of (Commercial) construction. Gas/Water Piping System (Commercial) ........................... . $30.00 ~ Permit Issuance Fee ............. $15.00 ~5 a ~' IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT /,, TOTAL ~!~~ (d D ` ~ / ~~~ cos DATE Current License on File 1~Yes O No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ~~ Rev. M9 POUNDS PRTG: Blair, NE _~ CITY OF BLAIR LOCATION OF BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY ^ IoID( ~°~ NAME OF OWNER: ~ar ~ ~ ~i..~.G/S.! C_aGy (~C.~ s C NTO~RACTOR L ~CJ'1 iJY ~ ~~ ~~ ~D lY - g~~ a DATE INSPECTION REQUESTED• /~ r /~^D~ TIME INSPECTION REQUESTED: l O • ~V ~ "1 i ' PERMTI' N0: /~~~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^. DRYWALL ~ FINAL ^ PARTIAL PASS FAILED COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED. FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ~ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PAS D FAILED ^ PARTIAL ^ CnMMF.NTS MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT FINAL ^ PARTIAL PASS .FAILED COMMENTS: PLUMBING: ^ GROUNDWORK ^ ROUGH-IN FINAL ^ WATER METER INSTALLED ^ PARTIAL ^ PRESSURE TEST OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED. NOTES/REMARKS: FAILED T ~ ~Q FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT CTI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHE LOCATION OF INSPECTION: C~ `^~Y~/'~`~ ~~ ~ ' '" NAME OF OWNERy ~ CONTRACTOR~~ ~ - ~ O ~ _ ~ ~a a - DATE INSPECTION REQUESTED• ~ ~ ~ TIME INSPECTION REQUESTED• I ~ ~ 3 ~ ~ 1 a ~S ~ PERMIT NO TYPE OF INSPECTI N REQUESTED: ^ CONFERENCE ^ STATUS C~IECK BUILDING: FOOTING ^ DECK FOOTING ^ FRAMIIVG ^ DRYWALL ^ FINAL ^ PARTIAL PA D FAILED COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN_ ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANTHEAT ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: PLUMBING: ^ GROUND WORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED ^ PRESSURE TEST ^ ^ COMMENTS: , ^ OCCUPANCY GRANTE/D ^ CO~NDIrTIO~N/A~L OCCUPANC GRANTED / /~ ~/1 J~ rTrvrcc~n~,rnnrrc• ~!_~1 '/ /L// ~i'I ~ ~~~~.~~1 /Vl~ ~/T ~ \~y[rl'/ x ~i~ OF INSPECTION MADE: Tom. FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY. ^ CITY OF BL BUILDING INSPECTION REPORT ^ WASHINGTON COUNTY / ~^ OTHER / ~'"""-'~ ~ - C~ LOCATION OF INSPECTION: `'' ""Yy""'~ NAME OF OWNER: ~ ~ CONTRALTO ' ` 1 `~'~`- ' S r ..~ _ ~ S~ I _ ~~s_ DATE INSPECTION REQUESTED• TIME INSPECTION REQUESTED: I • ~ ~ PERMTI' N0~ ~ ~ ~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL - ^ PARTIAL PASSED FAILED .. ^ ^ COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE .PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: - ~ ELECTRICAL: ^ ROUGH IN , ^ FINAL ^ PERMANENT SERVICE] TEMPORARY SERVICE ^ PRECONNECT PAS FAILED ^ PARTIAL l ~ ~D f~ ~ ^ COMMENTS: C~ V MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL _ PASSED FAILED ^ ^ COMMENTS PLUMBING: ^ GROUNDWORK ^ ROUGH=IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED ^ PRESSURE TEST ^ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• OF INSPECTION D OPP BURT REA ~ ~Z~ :° _ TO CONNECT SERVICE: ON_ I/~~' ---~ ~` ~" BY v' TIMR• O~ i /- l~~ CTTY OF BLAIR BUILDING INSPECTION REPORT- ^ WASHINGTON COUNTY ^ Lz~}- ~ LOCATION OF INSPECTIONI• NAME OF OWNER: /"~1C~`C ~ ~I%-~ V1 C( V ~i DATE INSPECTION REQUESTED: ~ I l ~ (~ TIME INSPECTION REQUESTED: I ~ " ?`~ PERMIT TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ .FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: UTH.ITIES: ^ SEWER TAP `^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FINAL-. ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: PLUMBING: GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER' METER INSTALLED ^ PARTIAL PASS FAILED PRESSURE TEST ~ ^ COMMENTS: /// ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED DATE OF INSPECTION ~~ TIME: ~l r `; FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY .BUILDING INSPECTION REPORT ^ CTI'Y OF BLAIR ^ WASHINGTON COUNTY (^~ ~O~TPHEQR D ~ ~,,, ~,/ LOCATION OF INSPECTION: G `~~"Y1i"'^ ~`••~-~~ '"`" NAME OF OWNER• " ~ - " CONTRACTOR: DATE INSPECTION REQUESTED• ~ _ ~ ~ TIME INSPECTION REQUESTED• 1 V V PERMIT NO: I ~ 1 TYPE OF INSPECTION REQUESTED:. a ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED;' FAILED .. ^, ^ COMMENTS: UTILITIES: ^ SEWER TAP ^ SEWER SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PAS FAILED ^ PARTIAL ~ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED ^ PRESSURE TEST ^ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS: .M ,~,as FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY __ _ _ _ BUILDING INSPECTION REPORT CTI'Y OF BLAIR ^ WASHINGTON COUNTY (~, ,^~OTfHER ~ Q, LOCATION OF INSPECTION: ~ `F ~~Wv `°'' ~`^~ "~ NAME OF OWNER• ~~ CONTRACTOR: ~~ ~ ~ U b ~ ` ~/ DATE INSPECTION REQUESTED: ~ O - ~ ~ TIME INSPECTION REQUESTED• ~1 ~' ~ `~ PERMTI' NO• ~ ~ `~ ~ ~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ COMMENTS: FOOTING ^ DECK FOOTING FRAMWG ^ DRYWALL ^ FINAL ^ PARTIAL PASS ~ FAILED ^ UTILITIES: ^ ^ COMMENTS: SEWER TAP ^ -SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PARTIAL PASSED ^ FAILED ^ ELECTRICAL: ^ COMMENTS: ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PARTIAL PASS FAILED ^ MECHANICAL /// COMMENTS: ROUGH-IN ^ A/C ^ FURNACE' ^ RADIANT HEAT ^ FINAL ^ PARTIAL PAS FAILED ^ PLUMBING: ^ ^ COMMENTS: GROUNDWORK ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PRESSURE TEST PAS D FAILED ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• DATE OF INSPECTION MADE: /% v~/L/ ~~ FAXED OPPD~BURT REA TO CONNECT SERVICE: ON ~CPI'Y OF BLAII~ LOCATION OF INSPECTION NAME OF BUILDING INSPECTION REPORT. ^ WASHINGTON COUNTY ^ d DATE INSPECTION REQUESTED' /~/ ~ TIME INSPECTION REQUESTED. ~' d~ ~ • m • PERMTI' NO• ~a~~/ ~07~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^' DECK FOOTING FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAII.ED Nei ^ COMMENTS: UTILTTIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ .WATER TAP ^ REMOTE. ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASS D FAILED ^ PARTIAL ^ COMMENTS: MECHANICAL: ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL ~ PAS D . FAILED COMMENTS: PLUMBING: ^ GROUNDWORK ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL .PAS FAILED ^ PRESSURE TEST ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT ~~~F BLAIR ^ WASHINGTON COUNTY ^ OT R LOCATION OF INSPECTION• ` ~"~-~" ~~ •[.J~/ • O ALP NAME OF OWNER: ~ ~~"~, ~~ ~~~~ F~~~~'C01~ R~CTOR~ ~~`•~~ ~"-~"' ~-~ - 3a ~ - 98ia DATE INSPECTION REQUESTED• w ~/ ~ ~~ .TIME INSPECTION REQUESTED: ~` ~~ A • l~ PERMTI' NO• /a~ ~ / TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMII~IG ^ DRYWALL ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: UTILTTIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ^ COMMENTS: ROUGH IN ^ FINAL .$ RMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PARTIAL ~G _ ~ /~ D~~~ (~~f' PAS FAILED ^ MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED COMMENTS: ^ ^ PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED ^ PRESSURE TEST ^ ^ COMMENTS: ^ OCCUPANCY GRAN~iI) 1-1 CONDITIONAL OCCUPANCY GR J&L TESTING SERVICE 13623 CR 26 GLAIR, NE. 68008 ~5~ STATE CERTIFICATE # P1410 PHONE # (402)426-4851 FAX # (402)533-2046 NAME: Matt Olsen SOIL TYPE: ADDRESS: 2266 Hickory Circle SILTY CLAY Blair, Ne. 68008 SILTY LOAM TEST LOCATION: Crystal Lake/Lot 6 SILTY CLAY LOAM DATE OF TEST: 02/25/05 TO 02/26/05 CLAY LOAM SUM OF PERCOLATION RATES: 53.51 SANDY LOAM AVERAGE RATE: 17.84 SANDY CLAY MINUTES PER INCH: 24.00 PRECIPITATION: NONE SN: 022605-4 10' TEST BORING NONE FIELD DATA SHEET Hc~l_F 1 HOLE 2 HOLE 3 TIME FILL READING LOSS FILL READING LOSS FILL READING LOSS 9:15 6" = - 6.. 6.. 9:45 6" 1.75 4.25. 6" 3.5 25- 6" 4 2 10:15 6" 2 4 6" 3.5 2.5 6" 4 2 10:45 6" 3.0 3 6" 4 2 " 6" 5 1- 11:15 6" 3.5 2.5 ' 6" 4.5 1.5:- 6" 4.75 1.25. 11:45 6" 3.5 2;5 6" 4.75 1.25;: 6" 5 1 12:15 6" 3.5 2.5 - 6" 4.75 1.25 - 6" 5 1 12:45 6" 3.75 2,25 6" 5 1 6" 5.25 U.75 1:15 4 2 5 1 5.25 0.75 TOTAL LOSS LJ 1 ~-3 1 PERCOLATION TEST DATA FILE PERCOLATION READ INGS RESULTS START END Elapsed Water Level Percolation Time Water Level Time Time(Min.) (Drop In.) Rates(Min. per In.) 9:15 A.M. 6" 1:15 A.M. 240 23 10.43 9:15 A.M. 6" 1:15 A.M. 240 13 18.46 9:15 A.M. 6" 1:15 A.M. 240 9.75 24.62 YYA~ 1 C IJI~f VJHL JIGIIY~7 L enl leo~ rGGT nG nRAIAI GIGI n TRFNRH RFnI IIRFrI FnR A SINC;I F FAMILY DWELLING B O R I N G ~. 1 E R L E Perc. Rate In Minutes Perlnch 1 Bedroom 200gpd 2 Bedroom 300gpd 3 Bedroom 400 gpd 4 Bedroom 500gpd 5 Bedroom 600gpd 6 Bedroom 700gpd Bedroom 800gpd 8 Bedroom 900gpd 9 Bedroom 1000gpd <5 Systems must be designed with a 12 inch loamy sand liner that would have a percolation rate of 15 to 20 minutes per inch and shall be designed at the 11-20 minute per inch level 5-10 165 330 495 660 825 990 1155 1320 1485 11-20 210 420 630 840 1050 1260 1470 1680 1890 250 500 750 1000 1250 1500 1750 2000 2250 31-40 275 550 825 1100 1375 1650 1925 2200 2475 4150 330 660 990 1320 1650 1980 2310 2640 2970 51-50 350 700 1050 1400 1750 2100 2450 2800 3150 >60 Systems must be designed by a professional engineer. Construction permit needed. 9' 6' 5 E N F O O T T 4'6" 4'3" 4' S ~ ~ ~ ~ ~~ 1~~~ \~-~ ~ ~~S 1 ~- - /~/ ~ ~~ ~ L~ _.. ~ CITY OF' BI,f~II~ '~r~, o~~se of BUILDING PERMIT SUPPORTING DOCUMENTS This building permit packet includes various items dealing with particular code requirements and/or building permit requirements. It in no way includes ALL particular code items. Also, it is your responsibility to know the 2003 International Building Code requirements that apply to your project. Please understand this packet is only designed and distributed to aid you in your building permit process. A copy of the International Building Code is available for your use at the Blair Public Library. I have read the above disclosure and accept this building permit documentation on my own behalf assuming full responsibility as the owner/contractor for this project. Owner/Occupant City of Blair ~~o tractor ~l~-d~-o /\ 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail crfyofblair@huntel,net ~~° J~I~ TASTING SERYIC~ 13623 CR 26 BLAIR, NE. 680{)8 pHUNE# (402)4264851 F,4)C# 402)533-2046 STF.TE CERTIFICAl'E # P1410 REPl3RT OF PE~8C4LAT6AN 7E~aT To Whom this may concern. "this latter outlines the procedures for the field percolation test for the proposed sewag disposal system r;anducted at the referenced site. The following procedures were used in doing the test Three te54 holes were drilled at the site with a 5" diameter continuous High auger to the depth of about 4 feet. Ali loose material was removed from the bori s. Sides and the bottoms of the holes are roughened to provide a natural surface, nd the bottoms of each were covered wfth gravel to prevent scour. The drill team filled the borings with clean tap water. Water was refilled fr a surplus reservoir of water(automatir, siphon) for at least 4 hours. Measurements of the water drop in each hole are recorded 12-t6 hours a er pre- saturation began. From a fixed reference paint the drop in water level was measured at 30- inute intervals fora 4-hour period. The drop that occurred during the final 30-m ute period is used to determine the percolation rate. The percolation rate is t average time in minutes for water to fall one inch. Your percolation rate f your perk test is 24.1)0 minutes per inch. This figure determines (via t char) provided) approximately how many square feet of lateral are needed per drat Test results indicate percolation rates at the time of our investigation. Variable soil co itions can cause highly variable rates at any site, and drfferir+g weather conditions can affect results. If we may be of additional assistance please do not hesitate to contact us. JAL TASTING ~~R~/IC~ J&L TESTING SERVICE 13623 CR 26 BLAIR, NE. 68008 STATE CERTIFICATE # P1410 PHONE # (402)426-4851 FAX # (402)533-2046 Matt Olsen DRESS:- 2266 Hickory Circle Blair, Ne. 68008 ST LOCATION: Crystal Lake/Lot 6 TE OF TEST: 02/25/05 TO 02/26/05 M OF PERCOLATION RATES: 53.51 ERAGE RATE: 17.84 VUTES PER INCH: 24.00 022605-4 SOIL TYPE: SILTY CLAY SILTY LOAM SILTY CLAY LOAM CLAY LOAM SANDY LOAM SANDY CLAY PRECIPITATION: NONE 10' TEST BORING NONE FIELD DATA SHEET Nnl 1= a Hr~l F 9 HOLE 3 TIME FILL READING LOSS FILL READING LOSS. FILL READING aQSS 9:15 6" 6" 6° 9:45 6" 1.75 4,25 6" 3.5 - 2;5 6" 4 2.. 10:15 6" 2 4 6" 3.5 2.5 6" 4 ' . ;2 ,:_ 10:45 6" 3.0 3 6" 4 2.: ` 6" 5 ~1 ` . 11:15 6" 3.5 2.5 6" 4.5 1:5.c 6" 4.75 1:25 `. 11:45 6" 3.5 2:5 6" 4.75 125,:' 6" b 1`; 12:15 6" 3.5 2.5 ` 6" 4.75 ' 1:25. 6" 5 1 12:45 6" 3.75 2.25 6" 5 1 6" 5.25 0;75 1:15 4 2` 5 1 5.25 0:75: TOTAL L055 ~, ~ J L~~~J p~lzr_nl ®Tlnnl TI~sT DATA f~ILE PERCOLATION READ INGS RESULTS START END Elapsed Water Level Percolation Time Water Level Time Time(MinJ (Drop In.) Rates(Min. per In.) 9:15 A.M. 6" 1:15 A.M. 240 23 10.43 9:15 A.M. 6" 1:15 A.M. 240 13 18.46 9:15 A.M. 6" 1:15 A.M. 240 9.75 24.62 YVHJ I C IJI.7f VaHL JfL117V n~~ ~nnr_ rc~T r~r non~si ~ic~ n Tocn~ru DCn1 nRGn FnR D RIIJra F FAMII Y f)WFLLING Perc. Rate In Minutes Per Inch 1vwV Bedroom 200gpd -. 2 . - Bedroom 300gpd - -3 Bedroom 400 gpd 4 Bedroom 500gpd 5 Bedroom 600gpd 6 Bedroom 700gpd Bedroom SOOgpd 8 Bedroom 900gpd 9 Bedroom 1000gpd <5 Systems must be designed with a i 2 inch loamy sand liner that would have a percolation rate of 15 to 20 minutes per-inch and shall be designed at the 11-20 minute per inch level 5-10 165 330 495 660 825 990 1155 1320 1485 11-20 210 420 630 840 1050 1260 1470 1680 1890 250 500 750 1000 1250 1500 1750 2000 2250 31-40 275 550 825 1100 1375 1650 1925 2200 2475 41-50 330 660 990 1320 1650 1980 2310 2640 2970 51-ti0 >60 350 700 1050 1400 1750 2100 2450 2800 3150 Systems must be designed by a professional engineer. Construction permit needed. Fy._..-__~ _.___. 17t'~l'Itlit N 3l'r ~~/s RESc/eeck ~'~ropfi,~®ce ~;e~tificmte chea:l~~a ~~~ 2()03 IECC RF,Sehec~kSoliware Versiaa 3.6 lteease J Data fiicnaaie: C:1I'rogram Fibs\(,heck~lt~Schec~C~ficrdesson i,ot 6.rck PRUdECT TITI.F.: I,ot 6 Crystal Lakelot to Crystal Lake CITY: Omaha STATE: Nebraska HDI~: b3Q0 ('UNS'IRUC:t'I®N TYl'1r: Single 1/amily WININ?W ~ WAI.I. liAT1O: 0.[~8 1'A'TE; Ubl2aJ09 DA"J'E OF PLANS: 6-25-05 IjF.SI(iNEIU(:ONTRACT()R: Henderson Howes COMI'I:IANCE: Passes Maximtun UA °- "Z8 Your Hams IJA = 654 10.2% 13~rtter Than Caie (UA) Csiling !: Fiat C~~iliag or Scissar Truss Wall 1: Wood Frame, !6" o.c;. Window 1: Wood F'rarne:Double Pane with Low-E Door l: +:~t~ss Uour Z: Solid xaseme~nt Wall 1: Soled Concrete ar Mnsanry Wal] height; 9.0' Depth below grade: 9.0' Insulation depth: 9.0' 13aseanant Wsll 2: Solid Concrttk or Masuitr;~ -Wall height: 9.0` Dtpth below grade' B,0' Insulation depth: 8.0' I3asement Wall 3: Solid C~rncretc or Meconry 'Wall height: 4,0° Depth below grade' 4.41' Insulation depth: 4.0' Basement Wall 4: Solid Concrete ar~ Masonry' tiruss lazing Area or .Cavity Cora, Door ~t ~1116 ~IIiC ~ 1592 t 8.0 20.0 41 3599 L5.0 ll.U 351 2l7 34U 74 SQ 3-t0 2'7 38 25U ]t1 294 0.0 3.1 ~6 364 O.U 3.1 60 U.U 3, l 7ti U.U O.U 39 S 47 wau height: s.cr rib blow gr®de: fl.0' Insulstiott depth: 0.0' B$se~catt Waf15: Wood Frame 639 19.€i 0,0 ~ Wall height: ~.0' Depth below gads: 0.0' Insuistiait depth: 9.0' 13a~nent Wall t5; Solid Concrete or Masonry 8~ 0.0 3. l lI V1'aIl height: 4,0` Depth below grade: 4A' Insulation depth: 4,0' Aasematt wai17; Solid Concrete ~ IV1as~mry 110 6.0 OA 69 Wall height: 5.0' Depth below grade: O.U' Ynst~tation depth: 0.0' Floor 1: All-Woad Joist/Tntss:Uver Uncoatditioned Span 309 25.0 0.0 l 1 F'umace 1: Forced Hirt A.ir, 90 AFY]l; Air Conditioner 1: Electric Central Air, 10 SEIrR C'C>A~tPL1;4r1'CE STA'I'l_;MCiNT': '!"ftz propoxd 9~,uifding design descsilxd here is consista~t with t e building plans, specifications, and other calCUlatioris submitted with rite permit applicatioai. The proposed buildi has been designed tp rcidtt the 2003 I1=.C~C requirements in REScheekVeesiott 3.6 Rcleass 1 (fimuerly 1V11tiCl:herl~ and t camply v-~ith the ittandstory re+quirtmen fisted in r. RF:ScFweckl~ispestian Cherlctiet. T3 Ii ild i ~ r Date ~ ,. ~- ~_ err u ea gner_~ _. _l y-'°=----_--_ -_-----... --- : R)~Scheck Ites~tct~~n Checklist 2083 I~CC R1iSchs:kSoftvrore OiersiAn 3.b Release 1 DATA: 06/25105 PROJECT T1TLF; l,ot 6 Crystal l.akel.e-t b Crystal Lake 131a~. ~ C)epl. ~ Use Ceilin~p: [ J l . Cciiir~g 1: iclat Criaing or Scissor Truss, R-18.A cavity + R-.21,0 continuous insulation j Comments: i __ . -~..._..._~~.__~.._.--_.r.~_ r j C ~~i 1 I I I [ ) I i I i Above-Grads Wa9h: 1. Watt ]: 1tJoad Frame, !b" o.c., R-15.0 cavity insulation Comments: Tfeeeoeeat Wells: 1, Basement Wall 1: Solid Concrete nr Masonry, 9,0' ht/~.0' bl?/~3.0' insul, R•3.1 c~wrtinuous insulati+~n Cotument~~ ___ _ ___ ___ ____ _ _ ]rxtariar insulation rrlusl havc.a rigid, opaque, weather-resistant protective aoveair covers the exposed (sbovagrade) irlsvlation and exteetds at list 6 irl. brlo~.a grade ?.- 13asatnent 'VI%all 2: Solid Cottcrele a Heronry, 9.0' hU3.0' bF/8.0' insui,, It-3.1 continucnra insulation Comrrlent:;~ ___ _ _ __ _ _ __ _ _ __ Exterior unsulation must have a rigid, Opaque. wsat)!er-resistant pr~otectlve coverir rovers the cxposcsd (above-gradt) insulation and extends at least b in. t~elow grade 3. i3asement Wa113: S~alid Concrete or Masotary, 4,0' hUd.O' Fsg/4.0' insul, iZ-3.1 continuous insulation Comments: _ _ _ _ __ ___ __ _ _ _ _ _ _ Exterior insuiaticxr must have a rigid, opaque, woather~resistant protective coverit covers ehe exposed (above-grade) insulation and extends at Least b in. belaw grade 4. Basetneutt Wall 4: Solid Concrete or Masonry, S.(1' ht,'U.D' bg,'O.b` ins~~I, R-0 (unir~sulated) Comments: __ _ _ _ _ __ _ _ _ ___ _ 5. 13eseanart Wall S: Wood Frame, 9A' htl0,0' bg/9.0' insul, R-Ig.O caviq~ ins-ilatior~ Comrnentr: __ ___ _ ___ __ _ b, Basclvent Wa116: Solid Concrete or IV>a9cxrry, 4,0' htid.0' bg/A.0' ims~.l, . W____ R-.3.1 continuous in,~ttiation Comrrlents: _ _ _ _ ___ _ _ _ _ _ Exterior insulation must here a rigid, opaque, weather-resistant protective ocweri~ covers tht exposcx; (above-grado) insulatiotr and extends at least b i:r. lselow grade 7. Bascrnent Wa117: Solid Cc~nc~rete or A~fasonry, S,0' hvt1.0' bg/0.0' insvl, R-0 (utrinsvlated) Conarrlents: that that that that 'W iaxtows: ~ a 1, Wsndow 1: Wood Frame:Di>uhfe P'at:e with Lova-F:, U-Facta_ : 0.34Q Ftrr r+~indows witriaut Fled iJ-fiti~tors, describe features: iPanes~_-- l'rarrta rt'P~-._.____.._-_._ thermal ~ircaa7 [ )Yes [ ~ No Gcxrtna~nt;r: i ~~~ L ~ I 1, L)ocx~ 1: C31ass, CI_factor: 0.30 ] f 2. Door 2: Solid, U-factor: 0.250 __...__-_... F_ __._ Floors: 1, frl~c:a l:Alf-Woad Joist.~l'russ:Ovcr I-ncondttscsr+ed Space, R-2S.0 rar~il3 insulatiat Comments: Hessting and f~uolireg Fgaipment. I . Ftux:act 1: t,~xtzd foot Air. 90 AFUE ur higl;er Make srsd Ivfodel Numbar _-- -- _-._._ .,._.._-_...~---•--__._.__ 2, Air Conditiorter l: Electr'ic° Central Air, ]4 SEER or higher Make and Model'vumtser ___~____-- -____- _,~T-- - ~ 4lr I,et-kage: J 3oints, penetratians, and all ©klttr such openings in flue builslittg envelope that area saute cif air I leakage trust be s.,aled. I R~acesscd lights mud bst l? T,vpe lC rated, or 2) installed inside an appropriate air•~tigttt ~r-b[y I with a {l.5" claarar~cc fi'wn : nrrtbustible materials. if non-IC rated, the ln~cture must be in allod with a I 3" clearance >xom insulacioi~. Skyii~bts: Minimum insulation requieeutent for skylight shafts equal to or ~eat€x than 1 Z incites i R-l9. Vapar Retsr~ler: Required on the ~uuarm-In->a'inter side of all non-vetttcd framed ccilit-gs, w;slls, and I Ibis#eriate Idemtifkatiod: I 3 I Materials and equipment trust bt installed in a~.a*dt<nce with the manui~catttrrr's install. firm ixrstructicxts l l ! Materials and equipment must ~ idtntified sa that c;ompi.ianac cer~ ite deatert*tined. ] ; Nanul'ncttuer tnanua4s fbr all lnstallod heating arc. cooling equipment and servis;;e ware heating I equipment mu.~t he provided. I 1 ! Insulation R-e,allues, glazing U-f3dors; and heating equipment sil'icien~y must be clcarl ntar);ed on tht building plans or specifications. i IAnct Ioarsl#tlou: [ ! Supply ducts in unconditioned attics or outside the building trust be insulated to R-8. I. ] Return daps in tutcflttditianed attics or outside the building trust: be i,>5atlated to tt-~. Supply ducts in uutwmditioned spas must tae insulated to R-8. ! ] ! Return ducts in unconditioned spaces (except bawetnsxntsy must be insulated to R-2. I ~ I '~'~a'e exterior walls are used as platens, ttte wail must be ittsttlated to R-$. I Insulation is not required an return ducts in batsertteais. i Duct Cosistruciioa: [ ] LYuct connoi:tions to flanp,~ of air distribution systean aquipmnnt must be se~lcd and mec I .! A.ll joints, seams, and connections must be securely fastened with welds, gaskets, mastic: masiia-p{us-exrtbedded-falx•ic, ar tapes. Tapes and mastics mus: be sled UL 1.8110 i.¢ CtI ~ee~tr~7n: Continuously welded and lotdcing-type lcx-gitudiaal joiKts and seams on ducts ctpararing at Im+,a than 2 ~r.. w,g. (SUlI ISa). [ ] The NVAC system must prt*t•ide a means for balancing air and watea• systems. Teaaperttlure Controls: [ ] Thermostats are required for ea.h separate }14AC system. A manual or automatic meat partially resorict or shut psi;' the heating attdr'or coalir:g input to taslt wns or foot` shall t Serviet: Waterlfaatlttg: [ } 0kattr heaters with eertical pipe risers must have a hark t*ap at both the in{et and Duffel ~ water heater has ati integal heat trap or is pert of a circ~u!atiug system. [ ] I insulate circuiatittg hcrt w~sted pipes to the levels in Table 1. i Circnlt,dng x~t w:ter gystett~: ( } ~ Insulate cireuletin,g hot w~ttrr pipes to the levels in `fable 1. 1 ~ :~wimmiaryl Noo1a: [ ] = All heated swimtuirrA pools mtttst havo an cm/offheater switch and require a cove` unla i of the Mating energy i3 tr'am non-depletable sources. Pool pumps require a time clock.. ~ fiestiag aitad Coollna Plping lusulatiou: [ j I HtiAC piping conveying fluids above 105 °F or citilled tluieis below 55 °F must 'rc iusr ~ levels itn Fable 2. ,anict-Ily 1'astentxl. (teci'tesi~~es?. t81B. to provided, the s over 20'0 ro the ~i~' d ^'dw01 Table 1 ~ M!n(nec+m Jica~ula!!nn T6rickrarss fm C ~re~rlodng flog Walrr Aipss. 1ft~LiatlOfl Thj~kn~.4 L_~}YP~y~bwPi; ~,, Heated Water ]ion-_Circulatj,~ Rtutay~,q 5,~~,,y~~4;~ MaL+s ~d ~ a~ l;~nnerah~re t F1 Un io D„ ~- to i.75_ I.S° to 2.0" Qy~ l70••IRt1 0.5 1.0 I.S z.o ld4-3b0 0.5 0.5 f.0 ~.° 100-13U 0.5 0.5 0.5 ;.0 ?'able 7.: Mlni~uran Insulgrlor 'Th~cJrnsss for N~;4C Plpsa. E'fuid'1'exrtp. l c ~t ti ~ uc,j p,l~~, ~ 'n v~t 'T'vnes Pi $ Z LF1 ~h ~~ ~~ ~~ , ,~ ~~ c~ n ggS , Hestieg Systet~ $ ~,, low PressureJTem}+erature 201-250 1.0 1.5 i.S 2. l.ow Tein~tarature 120.200 0.5 1.0 1.0 1. Steam Condensate {Snr food water) PEnS~ i.0 1.0 l.5 2 Cooling Systems Chilled Water, Refrigerant, 40-55 O.S 0.5 0.75 I artd Brine Fielow 40 i .il [ .0 i .5 1 ;v[ITES TO Zk IELCD (B-eiidiag ?~kTartment Use (A~iy) _r_ in• rr.ncrr.^f.nnt, .TVS UrM TAr"Jf.I rJG~VO G' TITVrJ (~ I Ir!Yi Gnr'~7._~'.7.. AT 11 fy ~ - - _ - ....a xa - vsa.ra.wya ~ .OB -- - ~ - • :oc - aD c0 ~ ~ m ~ v~ Z ~ W OCT ~ /~ P, Zl'Z05 ~ ~ / ~ .'' N 3 .Si0+14.OQ N ~ ~~ .. ~ N ~ ~+ 3 .SO~1f.00 N ~ ~ ~ 1~ 9T dP' H '' 0 ~i .W ~ 13 ~ ~ ~~~ ~ ~C~ . ~ . W ~ ~ .- a ~+ °' '~ - ~ \ ~ ~ m ~ i~ ~ i ~~ b~ ~~ ~r ~ ~ Z ~ Z aD ~ ~ ~~n ~ '~ t9 t CD ~ ^ ~ M ~ Fr ~ .ap ~ ti ~ ~ m t~ ~ ao ~ ~ R c ~ Z ~ N / W ~- ~ c~D• ~ ~ Z O~ Z Z ~ 'f ~ i ~ _ ~. ~ 1~ ~ . 3 ~3 - ~ ~ lV ~ ~u~ 1 ~ ~ ~~~ ~ ~~~s ~ ~ ~ 3 ~ ~ S ~~~ ~~ I ~ ~~ ~'~ ~ ~Z i ~~ ~~ ~~' ~ 3 ~ ~' .. ~, ~~ i I ~. r ti W C _ O m ~ c~ 3 ~ a . ~w4 j . ~ / -1 1 ,~ ~ ~' o ~ g a ~ ~ ~ _ ~g~ ~ o~ ~ \ ~ N LL ~ ~a ~~ ~ ~ °D. ~Np \ I O N ~ 1D / \ ~ ~ ~ ~. ~_ ~~~~~~~~~~- ~ ,~~ ~ ~i ,Z ~ ~ w ~ "I zod o o ~ • • p ~ ~ ` I / ,~ °~ ~ r-~ ~ BUILDING PERMIT REVIEW OWNER: Matt & Jessica Olsen BUILDER: McKee Contracting PERMIT NO. 12157 CLASS OF WORK: NEW RESIDENTIAL: X ADDITION: NEW COMMERCIAL: GARAGE; REMODEL: TOTAL SQUARE FOOTAGE: MAIN: 1349 sq. ft. SECOND FLOOR: 1303 sq. ft. BASEMENT: 1349 sq. ft. GARAGE: 820 sq. ft. TOTAL FINISHED AREA: 2652 sq. ft. NUMBER OF BEDROOMS: 4 EMERGENCY EGRESS: Egress windows required in all sleeping rooms and basement. DECK: Front Porch PLUMBING FIXTURES HEATING FIXTURES KITCHEN: yes BATH: 2 ROUGH-IN BATH: 1 (Basement) UTILITY: gas, electric, water & sewer WATER HEATER: gas OUTSIDE FAUCET: 2 FURNACE: gas A/C: yes SITE REVIEW: D. Miller CURRENT ZONING: ~~ 1. LOCATION ON LOT (SETBACKS) A. FRONT YARD REQUIRED: 35' SHOWN: 48' B. REAR YARD REQUIRED: 25' SHOWN: 200' C. SIDE YARD REQUIRED: 10' SHOWN: 7' 2. LOT AREA REQUIRED: ACTUAL: 3. LOT COVERAGE ALLOWED: None ACTUAL: Plans Reviewed: Dale Miller Date: July 1, 2005 ~, IJov~30. 2005 11:34AM I~ASHINGTON CO PLANN1NG4024266843 ar~aA, He,2e `s O f~e v i,~ A ~~~ ~ I~ ~~'rr~7P~ 1~ mare ~oo,~ .~~ 0 ~?A ~ GIs ~ No.3129~,;P~ 1/100 l~~~~~PSSC'S , b ~ 12316 ~a~5 ~ ~ ~ ~~~~r/f ~ 1 ~'~~"; ,r i . r ~4.. :.c i s~5' ~ r ~ . ~ ' r ' ` y.' 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