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HomeMy WebLinkAboutBLD2007-00342 SFR Final - BLD Permit / Conditions - 2/28/2008 oCONCRETE MECHANI AL D o MANUFACTURED HOME o0 Footings I Setbacks Date Gas Piping Ribbons Exterior Date 0 Interior Date � y 1�i.�K Interior•Dam 9 211W7 By�l.�� Date ay C- Ch 01 tv y Exterior-Dam B Point Load I Isolated Footings INS ULA71ON 8 Date B Ba/SLAB INSULATION y m _ Data By FIRE DEPARTMENT Foundation WoII& Floors Date By Date B ytr Data By DECKS FRAMING _ Date By Date %- -07 By _v Data Z f a? By PROPANE T,IANKS PLUMBING vault DateDate By OTHER Groundwork Attic Date By Date By Type. - DRYWALL _ Date $y Tye'- Date j<-�� g � Int.Brad WallChow �y W Dow "z " �� ��N,aL INSPECTION o 2 Water In FlnBepsration , �+ N 8 Date By Date By Data Z '1 'G� By O m _ V Pass or Request Insped. c Type of Insp. 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A 8 oco D CD cn N a � O Q�p Q W S .N. O v w CD CD M a 3 oc Q � m O P O@ ('D J ya 3 N OL CD CD 0 N O W fD C ~ (� O � < N O co O -« : p OL W o s -o v Chcr o CD (m C) y <S. iz, w N CD CD 0 w N CD Cr F O y. '1I 0 Op CD � j CA fD C O cD o n O (D CD C- n) Cr o ;r C 0 p C• CD _ 7 aao O O O O = C. 7 C -- C N CO 0) O 0 N CD 0 CD N C 39 CD ' � � 0 a o O O ? p n n 0 CD C n m c a C. 3 O j �ii a cn 0 6 n o y cD CDcD cc O p 8 v 0 T CD vo - 0 8 =3 > = � � 3 o 0 - -< - CD D CD -v a o O o O x N pi 5 N c CM CD CD CDD CD C: _ 0 d N 0 N O O ra 0 'MASON COUNTY PERMIT NO. 60 , BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA98584 t=;r, =5 Shelton (360) 427-9670 • Belfair(360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Y4 - S Company Name Mailin Address F/v S . fZ 3o2_ Mailing Address City StatelaZAZip Code R G117- iN City State — Zip Code— Phone 36`O-M 5-14'5'G(o Other Ph2S3-Z.0i3--y 14 qq Phone �&her Ph. Lien/Title Holder _grA ro-1—Ir Contractor Reg. # Exp. E mail address YAM S?AL.2-N4RQ;91J ET. CoAh E Mail Address Drivers Lic.#YA-T SSA4d1 DL_DOB 3- 13- S I Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Sewer SystertL.)!�_ Name of Sewer System Sow 6-0u,-,I-r-1 i:I?i L i-r E .5 PARCEL INFORMATION - 12 Digit Parcel No. b 00 Fire trict Legal Description k= Site Address (Please include street name, street number and city) 5:RL L' -L-' Directions to site 4A,,j`f -A -To -S-rams � a a Z (-.A`-r-- r-=- 6-A s-r A .A ' r-.A slz., o` Will timber be cut and sold in parcel pre ation?Yes/ o Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff 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 - Newv>4 Add Alt Repair Other PRIMARY RESIDENCE XSEASONAL ❑ T Use of Building P S�ca~,�ems- describe Work AA L") <La­2 NEE A C- No. of Bedroom- No. of Bathrooms_ Square Footage- 1st Floor Zoo`4 Z- 2nd Floor 5 3rd Floor Basement ­6P Deck 132Covered Deck Other _ Sq. ft. r Garage_ Attached _Detached Carport Attached Detached MANUFACTURED HOME INFORMATION Make Model —Year—Length—Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchas ice$ Replacement Unit? Yes/No Installer Name Certification No. ;9 OWNER/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 1 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 accurate and grants employees of Mason County access to the above described property and structure for review and inspection.This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY 14 MEANS OFA OGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. X p,,,.,..,r Date: Ow r 1 Owners 2frresentative/ ontractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department �,r�� UC�CO•CYa is Environmental Health Department s' � Fire Marshal kop-L+h_a t. FEES t— Building Permit Fee Site Ins ec Plan Review Fee '� EH Review Fee Plumbing & Base Fee �`{ Planning Review Fee Mechanical & Base fee Other Wood/Gas/ Pellet Stove Fee State Fee L �d Violation Fee Pre-Paid at Submittal Valuation $Qf4G TOTAL FEES FORM MUST BE COMPLETED IN INK PERMIT NO. l aW7`CO 3�z— PLEASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar•P.O. Box 186, Shelton,WA 98584 Shelton (360)427-967t0B -4467• Elma(360)482-5269 nheO web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner s A_ Ar-EC Company Name L%0"-j4z-j2 Mailin Addres O Mailing Address City tate L-J A-Zip Code City State Zip Code Phon Z- - Other PhQT3-Z'o8--4144 / Phone Other Ph. Lien/Title Holder L4.JS.F—_ Contractor Reg. Exp. E mail address)68 S'7^P ARB►OeNi:TT:C t)�✓1 E Mail Address Drivers Lic.# °I1DL-DOB 3-13-57 Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System _ Name of Sewer System '0^2 .a-rY jT1 L 1 T 1 S PARCEL INFORMATION - 12 Di it Parcel No. "Z7 A23,Z c O10 ZO ire Dist c Legal Description O 0-0 Site Address (Please include street name, street number and city) 52-3 Z F 11i= WN Directions to sit W e '0Z_ S-r- sT / o F S/Z_ 3 o Z. Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Uni s - 1st Floor�d Floor�� Basement -d--- Garage -(-49 Closet 4�-- PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. o ixtures Fees Fuel Type:Electric LPC-.NZ Natural Gar Heat Pum99— Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets s Kithen Sinks Wood/Gas/PelletStove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other r)e-V_ Other 6*poSea'rvq / SPR�at�L�2- Base Fee Base Fee ���� FLO Lfl TOTAL PLUMBING TOTAL MECHANICAL OWNER/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 accu to and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF C ATION OF ORK B MEANS OF A PROGRESS INSPECTION. x Date: 3.Z o7 caner/ wners sentative/ ontractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted tanning Pd Ck# Date 5-a-01 Bid Pd Receipt No. iDEPAR M NTAL REVIEW APPROVED DENIED NOTES Building Dbortment Occ Grou T e 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 Mason County Planning Intake Checklist Owners Name:1,M 5 _ �4�-�5 Date: 3-2 -O . . Project: mzad A.Pe, Reviewed By: 19 LA Commercial Development: YES NO Comments: PLANNER: GBM TSC CMM KIM PB RDH Site Plan: North Arrow Ja''Property Dimensions: I z48 X Streets and Driveways Shown. Road name: R- ,a ;a," Existin Structures shown with setbac r10 II n 11� c�Q.� o ll Locatio Se tic and Drain-field Showh with setbacks ,d lie n i surface water streams, ponds, shoreline, wetlands,'hAdhPol oor'his�to drainage, defined drainage ditches) fir'Topography (slopes)-5Iopt_J +00afta_ �-}— Proposed Structure Setbacks (Direction/ etback): , F: 301 / E R: 3to, / 1: Qo / S2: _ao — ,o,"*Utility and Drainage Easements: Yes No if yes enter condition #5022) Other Easements Accessory Appurtenances: ro ane Heatpump � Variance applied for: Yes / o - parki allotted? No c"State Access Permit Needed (add condition #0020), ''/- Standard Conditions to be added to all Building permits that planning reviews: #5019 and #0700 Site Access: Are there any impediments (dogs/gates) that my restrict access to your site? on E I Is the site clearly marked? How? Address ❑ Name Critical Areas: ❑ Other: I Setbacks Shoreline _ Slope: Shore ine esignation: Comprehensive Plan: Rural Zonin ❑ Not Applicable ❑ Agricultural � RR 2.5 10 20 ❑ Urban ❑ In-holding ❑ RMF Rural ❑ LTCFL ❑ RC 1 2 3 ❑ Conservancy ❑ Rural ❑ RI ❑ Natural ❑ RAC ❑ RNR ❑ Unknown ❑ RCC-Hamlet ❑ RT ❑ Urban Growth Area ❑ MPR ❑ Unknown ❑ Unknown 'ter B (type of water if unnamed): T' S es No Unknown Flood Plain: YES/NO runknown ap# Aquifer Recharge: YES/NO Unknown ap# Tags/Cases: RLC/SPI Case: _'Sp-c 0-bol0 6-Year Dev. Moratorium: YE Eagle Nest Tag: Y 0 Other YE 0 Revised: 09-29-2006 Y MASON C UNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST Owner's Name:___. Date:3 2 --p - Reviewed Documents: By: �_ ✓Building Permit Application Completed_ Planning Intake Checklist Completed, l.[45-6!Site plan includes:Allowable building area,roof ov hangs,decks,etc. —Fire Apparatus Access Road info required? Yes ' _Energy Code Application Form-O Electric wall heater O Electric central furnace O LPG Furnace O Heat pump with electric furnace •Heat pump with LPG furnace O Boiler(heat type O Other:Specify: ) _M echanicabTlumbing Application-WATER HEATER FUEL TYPE Engineering? Yes ✓(Need 2 sets of calculations)No Snow load: — Geotechnical�rt or assessment? Yes No Seismic Zone(circle one) — ---- : D1 or D2 Constraction laps:_3 COMPLETE STRecognized Tans Legible Scale — ovation Views ✓Cross Section _Foundation Plan oof Framing Plan loor Plan_Use of rooms noted(all floor levels) V Floor Framing Plan-all floor levels represented? Loft,crawlspace,eta Deck Framing Plan,including covered.porch framing Plan Details. ✓Roof fiaming details,truss lay-out may be needed,truss or�'ck fiamed? S tC,�C_�t}QIYLk� Wall Framing-Does bearing-wall height exceed 10'?(Engineering may be required) he 6ud.ed, t- ✓Floor fianning: Floor joists: 7 ,d Floor beams: 4-b n V C eJ A(L'�2L . t✓Window headers marked on plans: Typical header. Foundation:footing size,reinforcement nQ Concrete Walls-Does Concrete Wall Height Exceed '?(Engineering may be required) Landings at all exits? Less than 30"above grade?(/ N _Heated By Furnace-Location ofFurnace _ �FireplaStove Information S -Fuel I)pe? Locations):�—�fL�— ✓ mow Sizes Marked on Plans �1�j (�lYldp Braced wall panels(shear walls)nailkd �engineering? CI on plans or lateral engineering? (Plans may not be approved if not provided) — ems ? (Engineering may be required) R602.10.1, la story of a two story D1-45%,D2—55% COMMENTS: ENGINEERING REQUIRED: Braced wall panelstbraced wall lines are not marked on plans(R602.10) Amount and location of bracing does not meet minimum required in Table R602.10.1 IRREGULAR BUILDINGS(Irregular Shape)R301.2.2.2.2 Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be considered to be irregular when one or more of the following conditions occur. 1)Exterior braced wall line or B WP cantilevered or offset by more than 4' 2)Roof or floor is not laterally supported on all edges 2A)Portion of roof or floor extend more than 6 ft.beyond the braced wall line. 3)End of B WP extends more than 1 ft.over an opening more than 8 ft in width below. 4)Opening in a floor or roof exceed the lesser of 12 ft.or 50%of the least floor or roof dimension.5)Portions of floor level are offset vertically 6)Shear wall lines do not occur in two perpendicular directions. 7)When a story above grade is includes masonry or concrete construction(exc:fireplaces,chimneys,and veneer). When this applies the entire story shall be designed.In accordance with accepted engineering practice. DESIGN CRITERIA:Wind 85 mph exp B(unless proven otherwise), Seismic Zone: Snow: psf MASON COUNTY DEPARTMENT OF HEALTH SERVICES _ ��Personat Environmental Health - Health PO BOX IW6 SHELTON,WA 9858 LOCAL(360)427-967 BELFAIR(360)275-446 Application for Determination of Adequacy FAX(360)427-779 Instructions PART 1: Applicant/Parcel Identification Name of Applicant 7:rPtr—.-S A. Date Mailing Address L/7/0 e, Telephone 3L62 2) A q6 a"2-'Q Assessor's Parcel Number I Z-'2-.Z-8 2q o o©Zo Type of Water System Check One): Reason.for licaion Check One): o Public(Community Water System(2 or more Building permit. connectionsr o Land use application,.if so.. Individual water source(one connection), o Division of land: if so.. .,� Well #of Parcels? SPL 11 Spring/surface water o Boundary line adjustment o Other(explain) o Other(explain) **If you have more than one residence o Replacement(please indicate name of water system connected to this well,check the Public box. below if applicable-no signature requinecl) PART 2: Water System Information Complete the section appropriate for the type of water system being evaluated: Public Water System Name of Water System Water Facility Inventory(WFI) Number. (write"none"for two party) 13 I am the manager of this water system.The water as been approved for. services. There are presently connection(s)in is will be the connection. O I am the manager of this system.This ection will be to upgrade or change the use of an existing connection on this ' :recreational to full time).Please indicate on.the following line the nature of this change: This water system is abl d willing to provide water to this(these)connection(s)without exceeding the limits o e water system or any limits set by state and local regulation. Signature of Water S tern Manager Date H-kWEWWEBPAGMWEB SrrMWATERAD4 DOC Update:April 2006