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HomeMy WebLinkAboutBLD20351 SFR - BLD Permit / Conditions - 6/4/1987 1 C�3(P Shorelines: PI umbing: p,e 9/3/ATg Setback: Mechanical : Special Interior: Conditions: FINAL: Mobile ome: Smoke Detector: Remarks: hdw,&e ooting: Setback: Foundation Walls: Framing: S 3/ �� ZV Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 20351 No. Floors " 1 Sq Ftg 40_- Owner PATTERSON, Howard Te1779-4707 Date 6-4-87 Address 11455 So Keyport Rd Poulsbo_ Zip Contractor Jerry Wright Address P 0 Box 1145 aelfair Lip Legal Description Wooten Lake Lot Direction to projec si a DaSt Haven Tk Right nn Mr View Dr Neils Lumberer ign in tree an lnft Plumbing x Mech x ewer Wood Stove x Fireplace Deck 24o Garage Carport Basement Loft Other 1 bdrm BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 3 P.O. BOX 186 SHELTON, WASHINGTON 98584 / `_ / 9 v`-� �G GI 426-5593 DATE ISSUED 4c J Q77,-lr f�Qn PERMIT NO.r�:2e'� N�5 I OWNER NAME MAILADDRESS CITY&STATE $ ZIP PHONE PA rez-ww r� DIRECTIONS TO JOB SITE 4fit,, rL L v Ol4 L L�1� LEGAL DESCR. Gt/ CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE wu USE OF BUILDING d L CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE , �� WORK � � L/! � /�F -� � , BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT.Z-40- GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED 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 TOTAL SQ.FT. 04 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL_ i OWNE S AFFIDAVIT CONTRACTORS AFFIDAVIT I CERT THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGIS ATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUI EMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBT ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. NER DATE X BY DATE FOR OFFICE AE - N LY DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION HEALTH cy� PUBLICWORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK 7' SPECIAL CONDITIONS BUILDING GROUP /\�-� PRE-INSPECTION SHORELINE PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE �J�Q APPLICATION ACCEPTED BY PLANS CH CK BY APPROVED FOR I SUANCE PERMIT VALIDATION TOTAL /67O 5 �y lEt �=� BY / CASH CK MO PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE _.7a4f" 4T_24 saa // a4V,0 r7r DIRECTIONS TO JOB SITE / itre-14K, lev- &e;tf L u t' jcr LEGAL DESCR. r CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP 'vfZ'? PHONE USE OF f ' BUILDING ` L< PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS _ 0 , FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS p t; FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS © c? BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS �n G' REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 SINKS �,ZJ HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT 3 Cy c LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL /5. TOTAL SPECIAL CONDITIONS: 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 ANY TIME AFTER WORK IS COMMENCED. OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIR OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE � i= X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION IBY CASH CK MO PLOT PLAN ADDRESS PERMIT NO, f o o LEGAL �( DESCRIPTION LOT �� BLK ADDITIONLZa,41,_',�4 u SITE AREA-11-01?D Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS_ JfL ` Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1".20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' G 0 / y J L I/We certify that the proposed construction will conform to the dimensio)ts and uses shown above and that no changes will be made without first obtaining approval. NA E(S) OF OWNER S) OF SITE a STRUCTURE(S) (PRINT) IGNATURE OF ERI DO NOT WRITE BELOW THIS LINE _ ) OR A THOED REPRESENTATIVE APPROVED DISTRICT AS NOTED DATE -`L—�J PREPARED BY: FOSTER AND WILLIAMS ASSOCIATES, P.S. , ARCHITECTS ANALYST: M. Murray PROJECT: Res. for Wright Const. PROJECT NO. : 8704 DATE: 5-11-87 INTENT: Washington State Energy Code Conformance. NOTE: THIS BUILDING WAS NOT DESIGNED BY FOSTER AND WILLIAMS ASSOCIATES. THE ARCHITECT ASSUMES NO RESPONSIBILITY FOR STRUCTURAL INTEGRITY, NOR CODE COMPLIANCE BEYOND THIS ENERGY EVALUATION. SYSTEMS INCLUDED IN THIS PROJECT - ------------- FLOOR 1 (130 S. F. ) 2x6 JSTS. , R-19 INS. , 3/4 PLY. , VINYL FLOOR 2 (270 S. F. ) 2x6 JSTS. , R-19 INS. , 3/4 PLY. , CARPET FLOOR 3 (0 S. F. ) ROOF 1 F S 400( . ) 2x4 TR USSR-38 INS. , 5/8 G.W. B. ROOF 2 (0 S. F. ) ROOF 3 (0 S. F. ) WALL 1 (700 S. F. ) 2x6 STUDS, R-19 INS. , 5/8 T-111, 1/2 G.W. B. WALL 2 (0 S. F. ) WALL 3 (0 S. F. ) SKYLIGHT 1 : (0 S. F. ) SKYLIGHT 2: (0 S. F. ) SKYLIGHT 3: (0 S. F. ) WINDOW 1 : (111 S. F. ) U VALUE= 0. 52 WINDOW 2: (0 S. F. ) WINDOW 3: (0 S. F. ) HEAT TYPE: ELECTRIC RESISTANCE HEATING ZONE: 1 BUILDING TYPE: RESIDENTIAL OUTSIDE WINTER DESIGN TEMPERATURE: 23 WINDOWS = 27.8% OF GROSS FLOOR AREA