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Date By Date By FINAL INSPECTION Water Line Date B y �2 Date By R 9A Date By --------------- ...,.w N ram• _ m to t� o fv g 0 t,S vv bs cc cn CD 0 r 8 o y o � a Z �o y 0 MASON COUNTY PERMIT NOL BUILDING PERMIT APPLICATION 426 W. Cedar - P.O. Box 186, Shelton, WA 98584 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 DW," r ' Company Name --� p Y ' , r t City Addres !`� r-J" P Mailing Address <✓ ��' �; ,, , i'r�� > City �, t�tea Zip Code f City,z / ,,.I State Ls Zip Code Phon µ- ` Other Phl,�2s �?. '_` �` Phone_ Lien E mail address E Mail Address =xt � ,,.�:'S ,c> ;r �° r'• ,.� Drivers SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please include street name, street number Ad city) Directions to site > Will timber be cut and sold in parcel preparation. Yes/ o Is property within 200'of Saltwater L,!O 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?Ye TYPE OF JOB - New-)(—Add Alt Repair Other PRIMARY 9ESIDENCE ❑ SEASONAL Use of Building ,+ " ': �+ +' Describe Work �`�`)4f No. of Bedrooms No. of Bathrooms Square Footage - 1st Floor 2nd Floor 3rd Floor r Basement Deck Covered Deck Other Sq.ft. Garage K Attached Detached rr Carport Attached Detached MANUFACTURED HOME INFORMATION - Make 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. 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 permis- sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding t is applica- tion_.or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work roposed. �- RECEIVED X . ..� :��, ,�' Date: ���.�.,�.���.:� ����.� �.��' � Owner t_Owner Representative/Contractor (indicate which one) A FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd -°Ck# Date Bld Pd i t Ple DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department(A-1 0 art! te o p %r Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES Prepared by: MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST Owner's Name: Date: ( Reviewed By: Documents. .--!L Building Permit Application Completed Planning Intake Checklist Completed, Site plan includes:Allowable building area,roof overhangs,decks,etc. —Energy Code Application Form-HEAT FUEL TYPE _j Mechanical/Plumbing Application-WATER HEATER FUEL TYPE Engineering Included&info transferred onto building plans:Design criteria: Code reference: snow load Seismic Zone(circle one): D1 or D2 ; Calculation incl(circle): Vertical Yes / No ,Lateral Yes / No Cons t ction Plans 3 COMPLETE SETS Plans Legible Recognized Scale Elevation Views Cross Section Roof Framing Plan Floor Plan-Use of Rooms Noted s Foundation Plan Floor Framing Plan-all floor levels including loft,crawlspace,etc. —Deck Framing Plan,incl cov.porch framing Plan Details.- Roof framing details,truss lay-out may be needed Wall Framing-Does bearing-wall height exceed 10'?(Engineering may be required) Floor framing: Floor joists: ,Floor beams: Headers. Typical header: 4 X Foundation: footing size,reinforcement IVEC Concrete Walls-Does Concrete Wall Height Exceed 8'?(Engineering is required) Non-Conventional Framing-Foam Core,Logs,etc.?(Engineering is required) Point loads trace to footings below? Slab insulation shown 2 6 ', Landings at all exits? 11 Heated By Furnace-Location of Furnace Fireplace/Stove Information Shown-Fuel Type? Window Sizes Marked on Plans Braced Wall Panels(BWP) [also referred to as shear wal ference 2003 IRC Section 602.10: B aced Wall Panels(BWP)Marked on Plans? YES Vontmue below) NO(lateral analysis included?) 4'Exterior BWP's located at corner,OR chec option below: k 4'panel within 8'of comer with 1800#holdown or ?" 2'comer panel and 4'BWP located within 8'or corner R602.10.5(see detail),or 2'8"Alternate BWP(ABP) �.,4'Interior Braced Wall Panel(IBWP),not to exceed 25'o.c.EXCEPTION: spacing may be 35' o.c.in order to Accommodate one single room not exceeding 900 SF,length of wall shall be required length multiplied adj.Factor from Table R602.10.11 (25'—30'use factor of 1.2,30+'to 35'use factor of 1.4) —Continuous footing required under 2-story structures in D2 or see exception in 602.10.9. IRREGULAR BUILDINGS 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: --t 1)Exterior braced wall line or BWP cantilevered or offset by more than 4' 2)Roof or floor is not laterally supported on all edges 2A)Portion of roof or floorextend more than 6 ft.beyaond the braced wall line. 3)End of BWP 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. COMMENTS: Mason County Permit Assistance Center Planning Intake Checklist Owners n�e:.� Date: Project:( if) Reviewed By: Commercial Dev ` ment: YE N� Planner: GBM Y TSC Comments: � LW�-��" Site Plan: L A North Arrow Property Dimensions: c d Streets and Driveways Shown. Road name: �'" All Existing Structures shown with setbacks 9 Well Location, Septic and Drain-field Shown with setbacks , saa Identify all surface water(streams,ponds, shoreline, wetlands, etc.) Topography(slopes) 4 Proposed Stru turf Setbacks (Direction/Setback): F: "�/ / ! ;R: � / _ j S1: / G f�J S2: .� Utility and Drainage Easements: Yes No if / Other Easements ( yes enter condition#5022) far Accessory Appurtenances County Access Permit Needed(add condition#0010) ❑ State Access Permit Needed(add condition#0020) Standard Conditions to be added to all Building permits that planning reviews: #5019 and#0700 Shoreline and Planning Info Setbacks: Shoreline: _Slope: Shoreline Designation: Comprehensive Plan: Rural Zoning �❑,, ""Not Applicable ❑ Agricultural YJrban � A RR2.5� 10 20 ,x� ❑ In-holding ❑ RMF ❑ Rural ❑ LTCFL ❑ RC 1 2 3 ❑ Conservancy A Rural ❑ RI ❑ Natural ❑ RAC ❑ RNR ❑ Unknown ❑ RCC-Hamlet ❑ RT ❑ Urban Growth Area ❑ MPR ❑ Unknown ❑ Unknown Water Body(type of water if unnamed): _ � - SEPA: Yes o nknovm Flood Plain: YES NO 'Unknown ap# Aquifer Recharge: YES NO`_� Map# Ev�i�.. S'€ Tags/Cases: _.J . �2� i�t: , RLC/ Eagle NI Case: N 6-Year Dev. Moratorium: YES _N2 Eagle Nest Tag: YES` O Other YES NO Addressing: Check box if needed ❑ Reviewed by: Revised:07-I2-04 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 3 Topic Index Contact info Search taborand b . Nam Safety Ctafr a insurance Workplace R1g3ts Trams& Licensing . m _�. Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber ,'General/Specialty Contractor A business registered as a construction contractor with L£tl to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. i License Information .. License RHANKC*063N9 Licensee Name R A HANKINSON Et COMPANY Licensee Type CONSTRUCTION CONTRACTOR UBI 601542923 Verify Contractor Premium Status Ind. Ins. Account Id Business Type INDIVIDUAL Address 1 1170 NE SAND HILL RD Address 2 City BELFAIR County MASON State WA Phone 4252752398 Status ACTIVE Specia ty 1 GENERAL Specialty 2 UNUSED Effective Date 8/29/1994 Expiration Date 8/22/2005 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date https:Hfortress.wa.gov/lni/bbip/detail.aspx?License=RHANKC*063N9 8/11/2004 r CASE J-NL-ET i Q ° dZZ a d © rThn! 0 Z ;Q � p r; rri I \� . ,, kp u q � Qs ° € — I �rn t { z I o z a v I �7(3 o v ;` ® 70 m O (sy �_. 1 r n kA v, m CZ _0 O -•0 � � C --�