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BLD2001-00195 Final Boat House with Efficiency Dwelling Unit - BLD Permit / Conditions - 3/31/2004
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G} - a a j Jul -25-01 04: 17 Tvebvon Company 2065274288 P.04 a: �vvs v Ana uvv y�r trao avii l.V rrK Al tim tM004 0 C j F -•q m Q�,v m 0 a, a x00 o x� m D D x -i x� � m _ � o. ao m n� o : m MV Rio � y 7 3 A Q01 a a K m < m 01 CD (n O O 7 to O O m �D 2CL "C 3 p m 0 CD 9l O W m rr a SE m [ ao m y3S Q� i3C O C 7 m C Aat I f_' f O m in F, I_ � = O Q m c C co I t� O O A G A C tOt � 0 r O 5. m 7 !z W d'ipt "� N m = o � Er O I N m w %< w 1 96,0 9 CD co 40 I r -ti tn Go 40 CL a 0 Q Q6 Is �D gr a'; ���• a � � a 0 a=uS MAN- MECHANICAL MOBILE HOME date '� Ribbons -o/ by L p date by 'Fourlv4tlon Was date by Set UP date r� INSULATIONr �i9t ••ry rr,, ,.• date by t.3�P lation Floors r- tv / � c.J FkW date /n -L Z -O/ by iL✓ date -D by date by FRAMING Walls FIRE DEPT. date - C `oZ by L date by date by PLUMBING Atria OTHER Groundwork date / 6"2� ""�/ L •.� date by D.W.V. WALLBOARD NAILING date (l- 19 --L9 Z by date I- -0Z by L Water Line FINAL INS ECTI N date _ by date02 3 by R(� date by 16) y.t- roG rc s.Y 4--) y f 9-O Z- A co-" &MWE�s2 _ L 0 lZ �c PERMIT NO.: BLD 00 MASON COUNTY BUILDING PERMIT APPLICATION 3H 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Norbert van Dam Contractor NameTimberline Construction Mailing Address 5716 61st Ave NE Mailing Addressp0 Box 772 City sea t t-i P State wA Zip Code cq g 1 o 5 City Be i f air State w_ Zip Code ci g 5 2 g Phone(206 ) 5 9 7-3 4:7 Pther Ph.(2nti )_599-1 1 76 Ph.(3.rn ).275_R1 27 Other Ph. (3 5A_J_1.)-3 4.5.1� 11 Lien/Title Holder /y/ f4 Contractor Reg. # -rim BEE- A Ko1Z4 Address Expiration_ / 3/ 01 'SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic x Existing Septic Connect to Sewer System Name of Sewer System Well x Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. tZZZ.. Fire District Legal Description So . 1/2- 6 IV-t Lo'T Tf DE ca+ioS -54)( 411 -(A Site Address(Please include treet n street nu ber and Git )-E. 710�_Gr eview LoopRd Allyn WA Directions to site Hwy 3 from ��yn to Grapevs o y ' South 1 /2 mi i P Will timber be cut and sold in parcel preparation? (Yes/No)NO Is your property within 200' of the following: Body of Water(Name) Case Inlet Saltwater x Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE KI TYPE OF JOB New x Add Alt Repair Other Use of Building Boat storage Describe Work A14Fw 4cp Asr04tc.?-r oti o F No. of Bedrooms 0 No. of Bathrooms_ 1/2SQUARE FOOTAGE-1st, Floor 600 2nd Floor A//t4 3rd Floor lyi i Loft 400 Basement UF1 Deck Other sq. ft. IL Garage /"r/-t Attached — Detached — Carports —Attached -- Detached -- MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. i NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes..shaU t2e made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtainin roval. ..___..,.Date 2 z -� � X d'�J �t Date Z--Z -b t FOR OFFICIAL USE BEYOND THIS PaWr Accepted by Date Submittal Amount Due Receipt No. r:::>::::;D PARfiM I�ITALVEVtl l f ::: .. �1PPRC)1/Iw# D N1EI . . > C NtjlTlt I G ?t3 Building Department T ' Occ Grou Type Constr. Planning Department Environmental Health Department Public Works Department Fire Marshal 8�. Valuation $ 1 _ a �x rBuilding7Perm7itFee 7a ? Site Inspection eview Fee .f a .0 Y 7 3.d 4f EH Review Fee Coot Plumbing&Base Fee 4e) Planning Review Fee Mechanical&Base Fee ��: Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal .�: ....... TOTAL FEES FORM MUST BE COMPLETED IN INK PERMIT NO.: PLEASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLI NT INFORMATI N CONTRACTOR INFORMATION Owner Contractor Name ( Mailin ress Mailin A ess .O. City State Zip Code D City State Zip Code (\ Phon (20(0 ) Z • Other Ph. ,LO Ph. 8 Other Ph.( 3(n0 ) ) Lien/Title Holder ��� ' Contractor eg. # L 0 Address Expiration SEPTIC INFORMATION-Connect to New Septic_k _Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 di it Tax Ice[No. 1 000 zo Fire District Legal Description Site Address(Please include StVeet na , streel num er and city) — DO o Directions to site o 12 RA 60LAW I Is your property within 200' of the following: Body of Water(Name) 1 AZI w[i - Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of B ilding Q� Location of Fixtures/Units 1st Floor .2nd Floor AM A.Basement Garage CI set PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets _I Type of Unit No. of Units Fees Bath Basins _I Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater Propane Tank Laundry Wsher Gas Outlets Sinks _� Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Other Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Masan County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that 1 am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtainin roval. X Date X /( Date 2 Z.$-0 1 FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. :::::>::>::>::»::»>:>::>::>:<:>::::::>:::>::»_::»:»::>:::;>:<: itrir r. sari :> : ::>:>::>:>:: .-...< : Rt�:Ft�1F�1�......ii>"1VI�#}..................................... Building Department Occ Group Type Constr. Planning Department Other Other Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES s . r PERMIT NO.: 4 MASON COUNTY 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 Seattle 206 464-6968 APPLICANT INFORMATI CONTRACTOR INFORM TION Owner G ' f If A. /t Contractor Name V t►11I,}f"01116. t 11 h< <i1 m Mailin Aqqressl Itp 01 V Mailin A ress �•�' ?t y City eAill State Zip Code ,P r' City 1 State r Zip Code 6� Z Phone 1L Other Ph. 2( "Co ) 12 II Ph. (vt% I L Other Ph. z��' Lien/Title Holder I`LA ` Contractor Reg. # Address T Expiration SEPTIC INFORMATION-Connect to New Septic__X Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 dilq t Tax P rce No. 141z l ©vD,2U Fire District Legal Description` Z t; i Gl)r Site Address(Please includg stPOA\ et na , streetnum er and city) `" V0 y CW ,n I1 Directions to site \ , 1 ,/t , 11,AN C � 0- 1 TEt1�1 Is your property within 200' of the following: Body of Water(Name) 4A5L;- tI,tt Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Ot er Use of qyilcjjng. ca tv • Location of Fixtures/Units 1st Floor i'_�0 •2nd Floor QU- .Basement Garage CI set PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins �_ Furnace F Bath Tubs Heatpumps Showers Vent Fans Water Heater �_ Propane Tank Laundry Wsher Gas Outlets Sinks �_ Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Other Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL s tx. A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. ' NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtainin roval. f X Date X Date 2 -Z 3-01 FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. mom ilding Department Oae Group Type Constr. Planning Department Other Other :.;::•;:;•:::•;:•;::::::::::::•::• ::::::::::::::: ::::::.: ::::::::....:::::....................................................................................................................................................... ................ Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES FORM MUST BE COMPLETED IN INK , PLEASE PKESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name Ali, PARCEL NUMBER l ZZz9 000-20 Date 7 SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line4 , , <-adjacent property line I I 1 I 1 I i I I I I 1 I I I I I I I I I I I I 1 I I I I I I I I 1 I I I I I I I I I I I I I I adjacent pro pert lined 1 ' E-adjacent property line SAMPLE SITE PLAN adja�nt property line-) Sic, _ E-adjacent property line D 30• rR`SCRV& gel I L R ti M A L i' HOM6 � 1 ,Gr34Ew CREEIc � \ � Hcu.sa i j PrioPastn s-e-I —� 1 1 , I , VACAANT i CrArtA[.c5 I % I 3o I /� I VM1oPosCD 1 1F 7 A&R="TURAL 50 1 1 I �—eo• I \ I 1 , i00' 1 1 L—e-LL I , 1 , � /00' .� ,r , adjacent property line- ; 1 �. / �c 4 <-adjacent ro ert'line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE �,'J;ftta c a+a.. a. to ruci'L.�I�t "C.e_ to Slep'z fic¢ is+ancm Ye Signature Date , I , 111 � � N 1 0 i i P Q— O O 1 �mo 91 LA Iq a M-H 0) +to21 r a0 u� a'r O 0 t x x r x ti s � s a c.� o� v� Window & Door Schedule Project Name.van Dam Residence Heated Area only Date. June 13,2001 Windows Brand Type or Model U-Value Quan- R25 1/2 1/4 Area tity Rd. Rd. S .Ft. Mercer Casement AR/LE 0.440 2 ❑ 60.00 0.440 1 ❑ 17.50 0.440 1 ❑ L1 1 10.00 Fixed AR/LE 0.440 4 30 50 ❑ 1 60.00 0.440 6 7-7 ❑ El I 36.00 Casement AR/LE 0.440 2 20 30 ❑ 12.00 Peachtree Newport Swinger 0.310 1 6 6 ❑ 40.00 El El El 0 El El El F1 LI Total Window Area: 23&60 Weighted 1 0.418 Skylights Brand Model Number -ValueQuant. Size Area w H (Sq. Ft.) i Total Sk li ht Area: Weighted U-Value: 0.000 Doors Brand Model Number U-Valu Quant. Size Area (Sq. W H Ft. >< Total Door Area: Weighted U-Value. 0•000 F�& W Foster and Williams Associates Analyst: Kari Trevor row , f F 8 w Enerzy Code Information Project. van Dam Residence Date: June 13, 2001 Insulation and Vapor Barrier: A. Minimum R- 38 in ceiling (attic) B. Minimum R- 30 in vaulted ceiling (cathedral) C. Minimum R- 19 in wall D. Minimum R- 25 in floor E. Minimum R- 10 at slab-on-grade edge F. Minimum R- Note:R-Values shown are minimum this option. See drawings for actual R-Values Code Conformance: A. Climate Zone: 1 B. Conforms to the Washington State Energy Code. C. Conforms to the Prescriptive method of Code Conformance Option no. 6 1. Group R Occupancy Heating by Electric Resistance: No 2. Group R Occupancy Heating by Other Fuels : Yes D. See Compliance Report for further information. Framing Methods: A. Wall framing method shall be: Intermediate B. Roof framing method shall be: Standard r II Floor Area: 956 Glazing Area: 235.5 Percent of Glazing:24.63% Analyst: Kari Trevorrow 'F& W Foster and Williams Associates,P.S. a G k I I i f J * BUILDING PERMIT # U L DATE �S — lq Planner Area S l� Parcel # j Q aa g - q j - 66O CHECKLIST FOR PROPOSED CONSTRUCTION Comp Plan Designation UGA RAC RCC RA For IH Yes No [ [ ] Within 200 FT of SMP designated shoreline, wetlands, i etc. 60 �- � Where? 00q�,640p�`{ Located near possible Critical Area, 00� What Kind? (Wetlands, Streams, Lakes, Slopes) U� i [� [ ] RLC already done? S P L a O b _ l ` [ ] [ ] Proposed construction within floodplain (<j2e [y]' [ ] Eagle nest Six year moratorium G Multi-Setbacks [ ] -Iv]/State road access needed [ ] [c_�Commercial Development (parking standards, sign ordinance, public works review, other applicable i agencies) Mobile Home or RV Park