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E—Q�r#'f+i--,I ra -< c 0 r r+ W C •+ a tt O C7 Oo—of+ 00r 0 Q* a f+ D a s 0 0*o r+ 0 -a a• too. #+--0"l z e OD Uri C)o vvozf+,)r-�,7naf�+ aOOOrvV 0 0 C m -s*r zpc000 c - s ow_ 1 r f+f+Z 0 z O -{ V Oc ococvwv a rn s f+-..� 7O—yEv Zr--- C 6A v -!a $--..a- rn -. 1-0 �rN<r tJ C3 N" as f"+"f r• 0- z a ao—O r f+ -+r 0 � vO/eQ•. "74c -17 a 2 zr- .Wt -• O00+0 000 ac — 'oa 011 o 00 tit a f+ a ara !? i O M"ON COUNTY BUILDING III 426 W. CED4R SHELTON, WASHINGTON 98584 (360) 427-9670 jaml RWTION k Job Location 3 C 1 1j32 L,k 1) t-This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: vc�.� Cj' R'Cwo� Items listed below must be corrected to gain code compliance � No Cj 61 L �— You are hereby notified that the above co ions shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑Call for re-inspection when corrections are made before continuing M} e correctlons, items will be checked o next inspection Departme Date /-z- ! Inspector UV GTA Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON lk858* (360) 427-9670 C0WWlIllIII'- . OWL- 199101kh Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: X Items listed below must be corrected to gain code compliance '.r, �. "5 L"J 06,4 le, OQ en4"r.00 !/S inn k! u-94 T L,7,, F eo:f4 L I L, '1.,4" You are hereby notified#hat the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK O Call for re-inspection when corrections are made before continuing • Make corrections, items will be checked on next inspection �Zl OK to �, Department Date I-„ o-f c., Inspector :F r . � MASON COUNTY BUILDING111 426 W. CEDAR SHELTON, WASHINGTON"584 (360) 427-9670 M, P 7rWN Ivan v.. Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed be ow m / G/' rVV cj C-C i t /1 all of ` , -� lL ev- r 11 f' k j V/ cr L1 + r r� -lore.^e- 1i n ,c - 3 L*► r, X c r- / i%n la 4i�MI, . J� g no .n 1��� 7 41.c 4- VON , : �' You are hereby notified that the above corrections shall be made BGFORE PROCEEDING WITH ANY FURTHER VORK -<s - /- Gall for re-inspection when corrections are made before continuing Ice-C- „j /! 6 r1-0�1<<.-0 a Make corrections, items will be checked on next inspection jw-:c-0 ; �' ,�e- cry a oc.-a- +C. f/..`s ❑OK to GC .:n .m*-+ i-�-s nv �os fc� Department AQ= Date SL Inspector v tr Ramew, '-Row, ����� _ Permit No. 'UA9 (� MASON COUNTY -1 BUILDING PERMIT APPLICATION ° 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628 'vim PLEASE PRINT #1 O er 5C A1ZAD9'R . 'A-NDALi- + RE 1 /J Phone# o �7�3 I\Site Address N C I 1y A0&AJ L&Lr-' T)R - Fire District# City TA-yk l�l 14 p r St � ��� t✓ Directions to Job Site l4y Etd RK �A FT � . E T Owner Mailing Address ©. /f/IIfJTNF 4N City � RI"-c" �To" St � Zip�� ,3 Lien/Title Holder CDC nl E R Address City St Zip #2 Contractor Name a4weIR/ l.M CLY�� jCj4g3��&- Contractor Reg Address I Q .�. ���� LN Expiration Date DS /�_/ Q S City ?OR_k C)#&'ttfkP-D St Zip QB Phone#o'�t'o g?l- 79�Z� #3 If septic is located on project site, include records. Connect to Septic?�_Public Water Supply Well 4 Connect to Sewer System? Name of System (If residential, proof of potable water is required) F #4 No a� QQ�L� gal Description 4 k\3 --LAKE TFZ. l i #5 Building Square Footage: (existing/proposed) l�?kl 1st FI 2nd FI / tr I / Loft semen Deck_fi #bedrooms / #bathrooms 3 / arage -9 / Carport -6' / (Circle:Attached or Detached?) Other sq. / #6 Use of building �Et�iCL� `�`-GIN �1^` � Describe work #7 Type of Job: New _Add Alt Repair Other 1 � #8 MOBILE/MANUFACTURED HO INFORMATION D Model Year M e Model Length Width Serial No. J u N 0 7 #Bedrooms # ath oms Type of Heat Purchase Price$ 4PALTH SERVICES #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland ake arsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions ✓ Flood Zones✓ Existing Structures.✓ Fences—nmf.-' Structure Setbacks✓ Driveways✓ Water Lines Shorelines✓ Drainage Plan✓ Topography✓ Septic Systems✓ Wells✓ Proposed Improvements✓ Easements✓ Name of Flanking Street%00' Indicate Directional by (N, S, E, W) Name of Froting'Streei� � in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW ` 1 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW • R{ZiEh� i 4 A 1 icsYicl� p � taTRpP l 17— ®r- t Plumbing Fixtures ($3 each) Fe& Mechanical Fixtures ($6 each) No. .3 Toilets CIRCLE FUEL TYPE: Gas Electric, Bath Basins Heatpump, Other 1 Bath Tubs UaL Fees 2%Showers Furn BTU Hot Water Htr _ Heatpumps Laundry Washer _ Vent Systems Sinks J� Spot Vent Fans 1_10 $Floor Drains No. Boilers/Compressors 'Laundry Basins _ HP Dishwasher No.. Air Handling Units Disposal _ cfm# --4PlJrinals No. Fire Protection Systems _Other Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $12,q '0'P No. Other Gas Outlets Wood, Gas, Pellet S 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 TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINLI*T10N OF WORK IS BY MEANS OF A PROGRESS INSPECTION. i OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT ' 1 f 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- IP ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE.PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINI G APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTME � X OWNER X BY o DATE �"' DATE !O — 1S �w I F + I"I14ti1 CiLY ccetet by I�Iat+e DEPARTMENTAL REVIEW FOR OFFICE USE ONLY ` Approved Cond:- Hold Approval Planning: tAA v 01 3 / ZOOM Environmental Health: T_4 W(,c,AVS-AR( U,% li�ydav p i �r G���� I Building Plan Review C Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit �j��,CG Plan Check Plumbing Fee Mechanical Fee OD Wood/Gas/Pellet Stove �SCX Radon Monitor gr Violation Fee p5� Site Inspection Building State Fee 4 So Other Other ram, �v Building Valuation: TOTAL FEE �-- , r Hegel Engineering CIVIL ENGINEERING• LAND SURVEYING•CONSULTING (206)876-05W 835 KEGEL LANE S.E. • PORT ORCHARD,WA 98366 84Z>`9S 6784. September 18, 1995 Rich Maxwell Elm Construction 4919 Lovely Lane SE Port Orchard,WA 98366 Re: Summer Cabin Plan Haven,Lake . Dear Mr. Maxwell: a I have reviewed your plans and tl "8sonstructed" front foundation wall and plan for the 14, above noted residence: Although a 4 inch thick concratc foundation wall does not'meat.Mason County coda fora two story building,the 4 inch waU`in:question has sufficient strength to carry design and anticipated floor loadings fob this;siructure. It is not a true load bearing wall and is calculated to carry approximtely 2p7-psi,which is well below a concrete strength of 2500 psi. Soil loadings are also we below capacity. In summary,I concur with your construction plan for the front foundation wall. The structural integrity of the slab'wall and footing are not jeopardized by the design loading for the structure. If you have any questions,o further information,please give me a call. S' erely F denck A. Kegel,P.E.,P.L.S. FAK:bk MUST MEET ALL CURRENT Enc. Sketch WASHINGTON STATE CODES File: 95-660 uiSN 9UILDING'INSPECTOR C€IANG SIJBJECT TO APPROVAL - -. DATE �� J - a - I 1 , - oi tot f XNF,i .� - s ' r 1 _ _i w o. . �_�� AW ✓� Date Checklist Prepared 11� MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1991 WSEC AND V&IAQ CODE COMPLIANCE Permit Number C'1�' 0_1�6_-Address r IL 75-1 1 .,c>1 1 LV=_bb Sq. Ft. «fit' Name on Permit ]�Lt'ic' f r��j �t 1, Contractor/Phone# Compliance Method: 0 Prescriptive (Option) ( ) Component O Systems Analysis Date FOUNDATION Insp. Rev. ( ) ( 4 Slab: R- l (Ext.foundation down to frostline/slab bottom;or interior 24"top of slab&horizontal. Radiant under entire.) Below grade exterior wall insulation: R- w C'<— ? ,.-;[l ( ) ( ) Crawlspace ventilation: _ (1 sq.ft.NFA/150 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.) ( ) ( Standard air seal: (Bottom plate/subfloor,rim joist/mudsill,window/door frames,penetrations condition to non-condition.) ( ) ( ) Attic ventilation (1 sq.ft.NFA/150 sq.ft.ceiling area) ( ) ( 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 fant3 cfm(Intermittent system manual&auto controls/sone less than or=to 1.5 at.1 WG) 1 l Z0 INSULATION ( ) ( Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6" above batt insulation) ( ) ( Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.) ( ) ( Wall insulation(above grade) R- Zl V"L6 p(8atts face stapled) ( ) (t Wall insulation(below grade-interior) R- (Batts face stapled) ( ) (✓� Vapor retarders on walls (Faced ban,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- 0�1 t Cl(Vapor retarder&I"air space) 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 xequired.) O ( ' HVAC ducts in unconditioned areas R-8 (Joints sealed;mechanically fastened with a minimum of 3 fasteners.) ( ) ( L,-)— 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.lz x v.� c�(�.(% 1c't -A", e 17\,e I Q,ccc' t., r'' L 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 ceiliji penetrations sealed to drywall-plumbing,exposed beams,wall receptacles,fans,recessed lights.) ( ) ( Ceiling Insulation R- (Insulate&weatherstrip access,baffle to prevent spillover-no cardboard) ( ) ( L 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 Sci. Ft. U-Value Manufacturer Rev. Ins . Loco .- qC) IC"go ,3cy4c) z 3CP t C.= GGYC CSC 4.:-i t V � t„Lti4a Total glazing area: 3Zr� Total conditioned area: Percentage glazing: I ) !I'> Verified: 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. Inp. Signature of Building Inspector: Date of Final Inspection: MASON COUNTY DEPARTMENT OF HEALTH SERVICES POST OFFICE BOX 1666 SHELTON, WA 98584 (206) 427-9670 FAX 427-8425 APPLICATION FOR DETERMINATION OF ADEQUACY Revised 09/01/92 INSTRUCTIONS 1. Complete Part 1. No determination can be made until Part 1 is fully completed. 2. Complete only the portion of Part 2 applying to the type of water system utilized. 3. Submit completed application, with attachments to the health department for review. PART 1: APPLICANT/PARCEL IDENTIFICATION NAME OF APPLICANT } %���,� /L , A � fLL DATE MAILING ADDRESS j)L,• 4 �� �1 TELEPHONE (�(i ) 3? -h ��2 'T-RjA � T-C N City 61 ate 2 ip ASSESSOR'S PARCEL NUMBER � 3c> ,�\ r� Qtr- SUBDIVISION (If Applicable) RANI �!-��-G LOT l� TYPE OF WATER SYSTEM (Check One) REASON FOR APPLICATION (Check One) Public/Community Water System — W Building Permit, Single Family Res El °individual System, Drilled Well Building Permit, Commercial Individual System, Dug Well Building Permit, Replace/Remodel EJ Individual System, Spring El Land Use Application ❑ Name Individual System, Surface Water Type Individual System, Other EJ Other PART 2-A: PUBLIC WATER SYSTEM {i€ii{titit{{!!i!#t{iti{iti{tllit#ills#1{i{!€€{i!{f{{itil#l11tl#t{i#€#{!€€!###€!€iEililil{E!t{liiiiillt{t311!!t{Eitit{t{EEE{itt{!i!!E#iil#E!!tt!!€!{tllif{llEittti€EIttEE{ltii NAME OF WATER SYSTEM B, Z1ELL WFI ID s ^a � p El The water purveyor for this system has previously filed a certificate of water adequacy with q�e health district. ElI am manager of the above referenced water system. The water system has DOH approval for service connections, with connections presently in use. The applicant has approval to connect to this water system. Service of water to the applicant for domestic purposes is consistent with both the water system plan and the water right permit presently in effect. Water lines are available to the applicant's property line, or the applicant has made satisfactory arrangements to extend the lines. 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