HomeMy WebLinkAboutBLD2005-01986 Final Garage - BLD Permit / Conditions - 7/27/2006 f
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W ,
o CONCRETE MECHANICAL MANUFACTURED HOME
F+sxatin l lba+ciGa 0840 8(0 j,ormy � Ribbons
Date I Vji4lit By ")L- Gabs Piping Date By
00i FQ #ation'Wai r Cuba By
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By INSULATION 001419 By
SGi Six binsuiation Floors FIN.A.LIF PECTION
Date i Zj IN U'6 By I.GO�— Dace By Data By
FRAMIN,�cay waft � /v� p FIRE DEPARTMENT
r 0(o y S Date Q�I ` By i l�S t3 By
PLUMBING Aide OTHER
Groundwork DOW By
Deft Byj4t, WAUZOARD NAILING
e Cate By
Qatj acOty �C-s
r Ll l FINAL INSPECTION
Date 0(01 0ty 9 LS Ds 7 y Date By
s Type of Insp. Pass/Fail Request Date Inspect. Late Done By Comments
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NOV 17 2005
68 t3 LF IR OFFICE
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86'-3j' /
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.—.0%YAPICC0URT _ _ _ _ - - - -.—._
SITE PLAN Scale 1"=30'
LAKELAND VILLAGE
Div 11 Lot 4
WILLIAM DUNN
70 E Olympic Ct
Allyn,WA 98524
(360)275 -9278
(360)301 -2566 cell
APPROVE®
MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE
CHANGES SWJET TO APPROVAL
By
Date j=D 7
i
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENTR E C E I V Fy r
WSEC/VIAQ Compliance Application NOV -1 7 2po
Owner. L / �„ / / Telephone: .5��� Parcel#: " f
.L
Type of project ( ) New Residence ( )Addition ( ) Remodel
Total Sq. Ft. 1- Floor: 2na floor: Heated Basement:
of heated area:: 17
Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace
O Heat Pump with el tric furnace O Heat pump with gas furnace O Boiler,specify fuel type:
O Other: SDecify
Glazing Percentage: Compliance Prescriptive Option see reverse side circle one: 1 II III
Method' O Component Performance , Chapter 5— Calculation worksheets required
'�o Check one:: O Systems analysis, Chapter 4
O Whole House Ventilation system . O Whole House Ventilation using a Heat
Ventilation using exhaust fans&window or wall fresh air
Recovery Ventilation System (VIAQ 303.4.4)
System vents (VIAQ 363.4.1)
Check one
O "Whole House Ventilation Integrated O Whole House Ventilation using an inline
with a Forced Air System (VIAQ 303.4.2) supply fan. VIAQ 303.4.3)
Window & Door Schedule (if needed, atfach an additional sheet)
Total
Manufacturer Room/location U-Factor Size Quantity Square Feet
Windows:
Windows: Total Sq. ft.
Doors:
Doors: Total Sq. Ft
Total window and door area
Total window &door area /(divided by)total sq.ft of heated area = %of glazing
MASON COUNTY PERMIT N30
BUILDING PERMIT APPLICATION
426 W. Cedar- P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLIC INFpRMATI CONTRACTOR INFORMATION
Owner Company Name
Ma Address Mailing Address
Ci State Zip Code � ;� City State Zip Code
Phone_ 7 9 Zen-Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg.# Exp.
E mail address E Mail Address
Drivers Lic.# DOB
Drivers Lic.# C' DOB ;
SEPTIC /WATER SYSTEM INFORMATION - Connect to ew Septic Existing Septic
Connect to Water System Name of Water System
Well Sewer SystertL�. Name of Sewer Sy to
PARCEL INFORMATION - 12 Pigit P rcel No. Fire District
Legal Description C i V Z7
Site Address(Plea a include street name, street__rlpm ber and city) C
Directions to sitei�r
Will timber be cut and sold in parcel pre aeratio
in n?Yes
Is property wit 200'of Saltwater Lake 6W River/Creek 4Pon
Wetland N( Seasonal Runoff +P Stream Slopes or Bluffs 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New !y Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building pR Describe Work
No. of Bedrooms_,�No. of Bathrooms—L—Square Footage- 1st Floor � 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INF RMATION - Make Model Year
Length Width S I No. o. of Bedrooms No. of B rooms
' Type of Heat P rchase Price$ Replacement Unit? Yes/N(
Installer Nam Certification No.
OWNER/13U LDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknovgement of such is by signature below. I declare that I am the owner,owners legal representative,or the contractor. I further declare
that I a entitled to receive this permit and to do the.work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner
agent on owners represents that the information provided is accurate and grants employees of Mason CountAa
�bcvdescribed erty ands ture for review and inspection.This permit/application becomes null &void if work or, r n is
not com nce wi in 180ays or if construction work is suspended for a period of 180 days.PROOF OF CONTINUF WORK 1,
BY
MEAN ESS SPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 18 DAYS WILL INVALIDATE THE p�PF. gAT7
Date
x NOv 1
Owner/Owners Representative/Contractor (indicate which one) OFFICE
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department JAI
c
Planning Department )'Oo - .z
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
'� 1 S`
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planninq Review Fee
Mechanical & Base fee Other
I Wood/Gas/ Pellet Stove Fee State Fee �-
i
f Violation Fee '��-p� Pre-Paid at Submittal
I Valuation $ TOTAL FEES
I
a
MASON COUNTY PERMIT NQ. ,
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar•P.O. Box 186, Shelton,WA 98584
Shelton (360)427-9670•Belfair(360) 275-4467• Elma(360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMAnON CONTRACTOR IN RMATION
OwnerZ;2e/z a.-� cJ.✓✓ Company Name #QM46`
Mailing Address 7D E' t a e' C7 Mailing Address
Cit _State'tdv Zip Code ,'�''. 42 City Mate Zip Code
Phon — "_ OtF1er Ph. ,D Phone Other Ph.
Lien/Title Holder & 5.VP Contractor Reg.4 Exp.
E mail address fJJP4..A✓ (�l�J40,9•,er. A/4 - -, E Mail Address
Drivers Lic. 0' DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System . _
Name of Sewer System
PARCEL INFORIIA4TION- 12 Digit Parcel No. Fire District
Legal Description Vi IT L.0'r
Site Address (Plea a include street name, street number and city) 7e G QA5c woo.[r e-/1, !;1fL.�ti
Directions to site(Plea V1g1-4A49r41!7—
Is property within 200'of Saltwater Lake At River/Creek Pond
WetlandlL.Q—Seasonal Runoff_Y�.S' Stream--bL2- _Slopes or Bluffs > 15% Al 0
TYPE OF JOB - New IC• Add Alt Repair Other Use of Building Q
Location of Fixtures/Units- 1 st Floor 2nd Floor. Basement Gara e-e—Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPG Natural Gas_ Heat Pump_
Toilets 7-0,4 Type of Unit No. of Units Fees
Bathroom Sink G� Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/PelletStove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee -GO Base Fee o13.S�G
TOTAL PLUMBING • 00 `TOTAL MECHANICAL
0VVNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is a %MOs employees of Mason County access to the above described property and structure for review and inspection.
PROOF F WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date:
O er wners Representative Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department a
Occ Group-Tyoe Constr-
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical &Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES