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Home My WebLink AboutBLD2001-01209 Final SFR and Garage - BD General - 5/14/2004 J PERMIT NO.: BLDZ MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 27-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION --}J-- Owner�4& �U(, ., , � Contractor Name�"�1., 6 Alt MS&-n �-p,4-`_ g e Mailing Address P(A-p 1c (k\C-%, Mailing Add_Less & 9 aJ< < I 'ClCity Pit z.?r StateLAic, Zip Code 4)6152!Cj City State , _ Zip Code Phone 6y )Z"?5•rr¢ctpther Ph.C 6 U )771 --71 y 1 Ph. ?_? - Other Ph.(3!60 )73/-7/0 1 Lien/Title Holder Contractor Reg. # T}4-C IC�C I t '?.,2 A 1 Address Expiration / Z / ? Q2— SEPTICIWATER SYSTEM INFORMATION-Connect to New Septic Existin Septic Connect to Sewer System V Name of Sewer System WeIIWater System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. Fire District 2... Legal Description Site Address(Please include street na e, street number and 'ty) Directions to site Gct e Q o0 2 Will timber be cut and sold in parcel preparation? (Yes Is your property within 200' of the following: Body of Wa er(Name) Saltwater Lake River/Creek; ` Pond Wetland _Seasonal Runoff Stream__K_Slopes or Bluffs i PERMANENT RESIDENCE3d SEASONAL RESIDENCE❑ TYPE OF JOB Ne Add Alt Re air Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms SQUAR 4FoC�QLTAGE-1st Floor��2nd Floor_ 3rd Floo Loft Basemen Deck 24o Other sq. ft. ge Gara Attached Detached Carport Attached, Detached i 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. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK44 SUS?ENQED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF W69K 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: I 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 df 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 appr first obtaining approval. XM4 Date ( "0 X Datet f�7'"t� I FOR OFF CIA USE BEY OD T IS POINT i Accepted by I L.-'� DatJ f!9 )Submittal Amount Due r Receipt N-o ��✓ i .. DEPARTMENTAi»REVI�U'f APPRQVED D�MI»D> CONDITION CODE1S } Building Depa ment � � ;001_.. 00OL& p Occ Group Type constr. U,k 1 Planning Department i I Environmental Health Department Public Works Department i j , Fire Marshal i Valu ion $ $. Building Permit Fee Site Inspectioni ola: ry-\ i-- Plan Review Fee EH Review Fee I Plumbing&Base Fee Planning Review Feet i Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee �! Violation Fee -�+ Pre-Paid.at Submittal ( ) TOTAL FEES PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360'427-9670 Belfair 360 275-4467 Elma'(360 82-5269 Seattle 206 464-6968 APPLICANT INFO TION CONTRACTOR INFORMATION Owner Contractor Name 7r— L Jtl t 60'+ ��7` ��•+r _ Mailin Addr ss I t i Mailing Address Ida S O—.i 11. 1 ri City T State J4, Zip Code��„,)�j2 4rj City —State tom! Zip Code If�rc,2 b Phonet'96 )"Z25•"64_Qther Ph.('J,u '7T1 -"7 ro t Ph. �"715_1 +4&kjOther Ph.(J'6) 241-7 is t Lien/Title Holder Contractor Reg. # �L f t ,,6?AA t Address Expiration `SEPTIC�ER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System ' PAKCEL INFORMATION-1 Tax Parcel No. 07 Fire District Legal Description ' - - ite Address(Please include t na e, street number and 'ty) i. Directions to site- " 1 tLop �11 AV - .. 12, ad Will timber be cut and sold in parcel preparation? (Yes Is your property within 200 a' of the following: Body of W er(Name) Saltwater Lake River/Creek i Pond Wetland `seasonal Runoff_Stream_)!C_Slopes or Bluffs PERMANENT RESIDENCE3d SEASONAL RESIDENCE❑ TYPE OF JOB N Add Alt Re air Other Use of Building Describe Work No. of Bedr oms No. of Bathrooms-�'2, SQUARE FOOTAGE-1st Floor �62nd Floor 7- / 3rd Floo Loft Basement Deck Other sq. ft. f Garage Attached Detached Carport Attached Detached i 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) f Installer Name Certification No. fIf NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF I CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. f 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 I 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 Lap uirements 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 formance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without r first obtaining approval Date 1 �"" 1 X Date4 "" I FOR OFF CIA USE BEY D T IS POINT Accepted by LJ Date �i(` )Submittal Amount Due ! (t ' '� Receipt hTd�� `�.' ` APPROVED D NIEI2 C NDITi0N GfiIDES .. 3!~PAR?M �IT ..IE�II #Af _ _ Building Department f Occ Group Type Constr. _ Planning Department Environmental Health Department Public Works Department Fire Marshal I Valu ion $ IE~ffl ai :.- 00 Building Permit Fee Site Inspection s Plan Review Fee EH Review Fee ' Plumbing&Base Fee Planning Review Fe ; r lW .chanical&Base Fee Other k, /Gas/Pellet Stove Fee State Fee Viol n Fee --+ ` Pre-Paid at Submittal ( ) i TOTAL FEES . PERMIT NO.: BLD MASON COUNTY BUILDING 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 APPLICAI J INFO ATION CONTRACTOR INFORMATION Owner "c:!t Contractor Nam Mailing Ads r 1 t� Mailing Add ess e o , t `'1 City 1 .A1 oo State #� Zip Code �ti a5 ',+ City r 1 - State -i Zip Code 4 Phone"? ? -tu.Ather Ph.( t ) 'f "►E r r 1 Ph.( �(,4 ) 7r' 4 �+Other Ph.( '6tJ ) !-'7 iv Lien/Title Holder Contractor Reg. # J*Ay K :TiL # t 1,�7 AA 1 Address lExpiration___7_/_Ij / .,. SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existin Septic Connect to Sewer System�Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-1 digit Tax Parcel No., + / i / 4 r' Fire District Legal Description G...s;) f- k a t.,L^ [ Site Address(Please include treet na e, street number and ty) Directions to site'_ c.. (4. a C c. f i `p4,,,,4 (.,4 :3 t is ,-. N "-- t 1. .4 :..( /: rO trr Will timber be cut and sold in parcel preparation? (Yes Is your property within 200' of the following: Body of Wa er(Name) Saltwater Lake River/Creek Pond Wetland Y, seasonal Runoff X Stream Slopes or Bluffs PERMANENT RESIDENC SEASONAL RESIDENCE❑ TYPE OF JOB N Add Alt %air Other Use of Building Describe Work No. of Bedrooms :No. of Bathrooms SQUARE FOOTAGE-1 st Floor 2nd Floor 3rd FlooMW _Loft Basemen Deck Other sq. ft. Garage Attached Detached Carport 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. 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 appro ,,-f first obtaining approval. �( r i � "� Date " ? "f.+f i! X Date FOR OFFICIAL USE BEYCV4D TFHS POINT Accepted by ° Datel '; .fubmittal Amount Due F Receipt No. .. .. .. DEPJ RTl EI11TAi»� V1 1N APPRQVEp p N1ED Q0NI�1TI0 .0 Building Department C 11,;, Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department 1 Fire Marshal Valuation $ FEES. Building Permit Fee Site Inspection : ,• 1 f �- Plan Review Fee EH Review Fee U� Plumbing&Base Fee Planning Review Fee', Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee ,r< State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION d 1005 Case No. Name CI nS�� PARCEL NUMBER I7Z2S -SO�?tat? atel�— lb— a 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 line- I I E-adjacent property line I I I I � I � I I � I i I 1 I I � I I I � I � I � I � I I I I I I I I I � I � I I I � I I I I � adjacent property line- ' ' E-adjacent property line SAMPLE SITE PLAN adjar�nt property lined �c 2LO� _ _ f-adjacent property line D 30' r RZ, vE gel ,L_ CR,G. V, i \ A fi MOM Q I I W°us¢ jpmaPoseD smptit �I I 1 VAGn,T ' G,�rtAv6 II sa PaoPmca - ' � \ �\ T A&RLe"TUJlAL $O I 1F 4o I I I , Bo'---mot I � 1 /oo' I \ 1 I I � C.._+eLL I I 1 I 1 /DO I i x�-- ' 1 I i R I I I \ �A I1 adjacent property lined ; c �; <-adjacent proper '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 �1"2stancat S+a V%cs. to uctt.4_rt to 510pd 1'0dE disian« 4 e d. Signature Date 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 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 2-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner H Contractor Name r.5 , Mailing ddress 'a l ( Mailin Addr s s a t l City Stat mac_ Zip Code Z City 11 Y State(,tt�a Zip Code 2- Phone 275-ether Ph.( 0 ) 7 31-`7/01 Ph. U Z7 Other Ph.Cybo )7 7/o Lien/Title Holder Contractor Reg.#_S7t-c k(77 1 1 ttS7- Address Expiration / 12- / zoo 7 [SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System 1 006 PARCEL INFORMATION-1 igit Tax Parcel No. Fire District_ 7 -- Legal Description L rl Site Address(Please include reet name, street number and city) Directions,t site `Tv v D WIN ov 2 ,c l Is your property within 200'of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland_)4.-Seasonal Runoff_X_Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Tyne of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs Heat pumps Showers Vent Fans Water Heater Propane Tank Laundry Wsher�_ Gas Outlets Sinks Z 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 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 ap al. first o taining a proval. X Date �� b X /�(/� Date - )6-0111 - FOR OFFICIAL USE BE ND THIS POINT Accepted by Date Submittal Amount Due Receipt No. ............................. ?A.T ....::::::::::::::..:.1k1?I�FCC##tlwp:::::>::::>:CfENIE#................... 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 PERMIT NO.: I- MASON COUNJY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 1=71ma '360 4825269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner k 44 Contractor Name Mailing Address ' f 41 Mailin Addr s -0 /t t City ' Stat J - Zip Code Z City ✓ Statetf�r^ Zip Code Phone Ph.(',UQ '73 4--"7 f9J Ph. U 2? Other Ph.('? 0 )Z -'7/0 Lien/Title Holder Contractor Reg. #_O'"fick J Z-1 161 /114 Address Expiration 0 Z_ SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 igit.Tax Parcel No. " Fire District Legal Description ll - - -y ------- �" Site Address(Please include street name, street number and ity)^7 - Directions t site "Ytr✓ U It Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland �Seasonal Runoffs Stream Slopes or j= Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixt res Fees LPG Natural Gas Heatpump 4 Toilets Type of Unit No. of Units Fees Bath Basins ✓ Furnace Bath Tubs Heatpumps ✓ Showers Vent Fans Water Heater Propane Tank $ Laundry Wsher Gas Qutlets Sinks ✓ as/Pellet Stove Z Dishwasher 1 u Direct Vent? Other Other Other se �� 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 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-1 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 ap I. first o taining a roval. I X ' Date �' X Date FOR OFFICIAL USE BE ND THIS POINT Accepted by Date Submittal Amount Due Receipt No. I�Ci1'i<[ Building Department Occ Grou Type Constr. Planning Department Other " Other ... :•:.: ..:...........................................................................................:::::::::::::::::::.....................................................:::::::::::::::::::.......... ..................... Permit Fee Site Inspection Plan Review Fee LIFC Plan Review Fee Plumbing&Base Fee Other *hanical&Base Fee Other F 1,Woo�l9as/Pellet Stove Fee k, Pre-Paid at Submittal ( ) Viol' p,Fee TOTAL FEES REMOVE NO TOPSOIL DURING SITE PREP. OWNER TO PLANT GRASS OVER SYSTEM MAINTAIN A MINIMUM OF 12 AND MAINTAIN GROWTH. VERTICAL SEPARATION DISTANCE, SEE ALL ATTACHED CONSTRUCTIt3I•I 1407F.S. tvWNTAN I00'FROM WELLS&SURFACE VvATEA. AWSANDY COVER-MINIMUM S M1NAN RATING. INSTAL.TREENCHES NO DEEPER THAN I S J, NO VEHICULAR TRAFFIC ON SEPTIC SYSTEM. \ INSTALL.SYSTEM ONLY WHEN SOILS CURTAIN DRAIN I s REQUIRED AT THIS TIMC. 0�0 AF1E PR OP'i.. R L Y 'FIY. LATERALS TO FOLLOW CONTOUR OF SLOPE. �,• ./f h SEPTIC SYSTEM DESIGN ONLYI THIS'B.S.A.SUBJECT TO OTHER AGENCY'S APPROVAL► ' THIS IS Ni)*r A SIJRVEYI / 0 1 p� This septic system is , designed for a peak flOW Of 3&0 gals. per day. Pw py o Of P i •goo : LIC NSED DESIGNER P / 1 / 1 / pD�pS i 2 / \CPI' a Oq 50, you 1 jh � DAfZ/bf/X 441k EG. \ L •c FL.o I 3'3o'4 - I Aecgss 4,k/D tJT/LTY E.S14T. Co��i.r/c � I OFF CT2APC-YiEw LoD� R�''i0 i DIMENSIONS ARE CRITICAL. I p� DO NOT DEVIATE FROM DESIGN. USE EXT^s= l9_* CARE IN SITE PREP. ao IQ o O o a; s; o < o CA = m m =r0 * � < m mo r o tu rn o ff c 01co E 0, �D Z -I m N � C co Ncn ? °' °' � O turn r- D m m CA �' _ c c is 3 Dn Cn -� n r �' g o. Zcn � � nrm- y ? g �° O m -1 DO � C0DO CD off' CD 3o � z , com � z s CDp � rn o � w 3 0 co m� 0 � N DD = o O P. qD � N nn D = Z n -n -n CD z co m ` � �p ,2 n w �, ,, N, � N Cu O = = co Oo0 EL n -u U) ccl) Z 2 < ZZ Z z mo rnv _ < m � Gn Ca oo CD p m o a �1A S. 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