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BLD2007-00280 Final SFR - BLD Permit / Conditions - 2/19/2007
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S (D r; W cn D :3 o 0--0 -0 -� CD :3C w CD 3 n � (Q X yo CT aW <' 0" C' Z cD CD o m :3 -0 m —� (n < 0 3 O� Z. 3 oCD � v r_ 0 m 3 x =3< 0- CD E — Q 0o Qo D n o cn < O O (n O Q ? Z, O `� TI 0 (D co m -ham 3 O p c ? C a) 0 cn u' c (i CD m fD Q E. 3 .� � = 0 cn 03 � v > > m vim ( � 3 0 � CD v _ . k \ M \ k / v / m EE22 • ® m cr \ X CD cr 0 * 7 / * / * \ % f § � 2 § OL (73 CD _0 » ` : / CD m 2 § aa g m § m , < jCam § $ M � Q �_ 7 G 2 . a a . o CD 7 Jab & T. m 0 - < 6 & / i ) ƒ cn a= K �CD 0 E : ] !� / 0 o CD / � CD a \ \ 00 � � � 7 ° o E % \ C / ,2 / \ / E / _ � / \ \ \ \ \ cn w < \ , / / mm = 77 m ] cn =r 7 / n C \ k\ k / $ E \ a e / gam E E � k a E ' 0 J � � 3 G m CD f R t ] CDCD 3 / / ƒ / 0 / a � 0 s E § \ /ElF k CD CD 0 cr CCD ° n G ƒ / , @ f i 7 7 2 q � � SG m 7 2 ° _ 2 ) SL 7 (n k 7' \ 1 a3 / � / k. > 0 9 ƒ CL / cn $ $ : /- \ % 7 % $ \ 3 0 \ \ § � S CD o R \ ' \ \ \ 0 - CD(n k = � 0 m CD 0 — J $ n k ] 7] \ � S kcr ' 7 _ � 7 CD a J I ) \� k / a \ } k /� � CD » § & / 0 (a. & & a � » S CD = e - A � :3 CD CD :3 /CC e (D � � / = o \ 0 ƒ B = ® k § 02 � j 2 oaM em � § 7 a \ \ § \ % & 0 /2 7 a k � � c \ « 9 \ C & R \ ; $ � § \ 2 ] / a � 9 ® & E � CONCRETE MECHANICAL rQ MANUFACTURED HOME C) ate C v Footing 6/ 0backs 1V CA C) a Piping By Ribbons _q 0 Inteno(Date --By interior-Dane By Date By 0 C) r1j z 00 Exterw Date 1-/100 By C) Exterior-Date l3v Set-up C_ Point Load I Isolated Footings INSULATION Date By > Date By BG I SLAB INSULATION ------- 0 Foundation Walls Data By FIRE DEPARTMENT A Floors Date By Date By [)ate Z;? IKO 7' BlMeV DECKS FRAMING Walls Date By Date C2 Data C_5 By PROPANE TANKS PLUMBING Vault Date By Groundwork Date' BY v OTHER Attic Date BY Date By Type- DRYWALL Date By Type, Date �9 L2!r 'nL Brace Wall Date BY rate By (D FINAL INSPECTION Water Lin Fire Separation 0 Date By Date By Dale/-z CD Bpw Pass or Request Inspect. Co Type of Insp. Fail Date Date Done By Comments CD CD CD eno Wee (D 99, U) a 1. 0 C e 44 21 /c /Jc (D ez_ 0 A -27- ate � Sl 37 aa. a tl �' �• f ' f =w . 4r S f V I s-,r—� f /l% PLANNING . �-° ,- ALL SETBACKS ARE MEASURp E r'� ,---- - .,: . FROM THE FURTHEST y , PROJECTION OF THE BUIL NG ,,' �� ,( ` 1-" ; 1 r � r Sri �f 'GAr cn n cn v� of m0 0 � r 34-- -0 Z (n Z �O > 73 ai 0 `1 p 0 0 0 0 ` C7 '0 M 'D D O r" D �> Z m Z PIL G; /"e� �J �' UU ' SETBACKS ARE MEASURED FROM THE FURTHEST - r-I 10JECTION OF THE BUILDING I Building Permit number: Scale: Dire Qpprbval: for office use �,O lbuildit: Owner/Applicant: �- ` ?, a Date of Planning: Parcel Number: .7/;z 1>0 9 application: Env. Health: ON-SrATF MASON COUNTY BPS C DEPARTMENT OF COMMUNITY DEVELOPMENT 4 MO o N z Planning Division z� N y y P O Box 279, Shelton,WA 98584 (360)427-9670 1864 REQUEST FOR ADDITIONAL INFORMATION March 06, 2007 JACK A HUSTON 1320 SE ARCADIA RD SHELTON WA 98584 Parcel No.: 321275300109 Project Description: New SFR Dear Applicant: You have submitted a permit application (case no. BLD2007-00280) for proposed construction or development in the county. Upon review of your application, I require additional information to complete the permit review process. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 593 if you have questions. Sincerely, eb ca Hersha Land Use Planner Mason County Planning Department 3/6/07 Page 1 of 2 BLD2007-00280 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/VIAQ Compliance Application Owner: Ir�IC . ✓y Telephone: 4/,2? _��� ParcelM �Z.4, Baia .s3 eolo 9 Type of project (v New Residence ( )Addition ( ) Remodel Total Sq. Ft. 1S Floor: ` 2"d floor: Heated Basement: of heated area:: ,� �©Z Heating System Type: ° Electric wall heater O Electric Central Furnace O LPG Furnace O Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O Other: Specify Glazing i Prescriptive Option see reverse side circle one: 1 II IV Percentage: Compliance Method O Component Performance , Chapter 5— Calculation worksheets required o/ Check one:: O Systems analysis, Chapter 4 Whole House Ventilation system O Whole House Ventilation using a Heat Ventilation using exhaust fans&window or wall fresh air Recovery Ventilation System (�IAQ 303.4.4) System vents (VIAQ 303.4.1) Check one O Whole House Ventilation Integrated O Whole House Ventilation using an inline with a Forced Air System (VIAQ 303.4.2) supply fan. (VIAQ 303.4.3) Window & Door Schedule (if needed, attach an additional sheet) Total Manufacturer Room/location U-Factor Size Quantity —Square Feet Windows: �v ✓m v,r AIC, / to CJ �� t 4beCU ,-,I S Ux 5-(p — Windows: Total Sq. ft. 7� Doors: �vuJPr� L� rV in v v Doors: Total Sq. Ft Total window and door area Total window&door area ;: (divided by)total sq.ft of heated area20 %of glazing Request To Revise An Approved Plan Permit Number: BLD200 - Name Parcel Number - - Phone Number daytime ( ) Project Address Mailing Address Please provide a complete, detailed description of the proposed revisions to the approved plans: Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑ No Are the approved site plans included? ❑ Yes ❑ No Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No If Yes, Has the engineer or architect approved this revision? ❑ Yes ❑ No Is a stamped and signed approval included with this request? ❑ Yes ❑ No (Note No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.) Does the proposed revision modify the footprint or location of the structure? ❑ Yes ❑ No If Yes, Is a revised site plan, with all new setback dimensions included with this request? ❑ Yes ❑ No Additional Information: Applicant's si ature pp ' :� )���--�z 1�'`� �.. Date: Office Use Only Received by: Date Sent Assigned To Approved By Date Original Valuation: $ El B. Additional Valuation: $ ❑ P. Sq. Ft. x$ $ Sq. Ft. x$ $ ❑ E.H. Total New Valuation $ Additional Fees: ❑ P'W' Additional Planning Dept. $ Additional Plan Review $ Additional Conditions/Comments: Additional Building Permit $ Additional Plumbing $ Additional Mechanical $ Additional E.H. Dept. $ Other $ Total Amount Due: $ Amount To Be Paid Up-Front$_ FORM MUST BE COMPLETED IN INK L-10_-)_CJt- l 1 C MASON COUNTY PERMIT NO C PLEASE PRESS HARD BUILDING PERMIT APPLICATION 'Ti,, ;,2, .c, ,d 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 _.c 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 JAI C,& /V. A0Vf/ 11 A/ Company Name Mailing Address O - ivy Mailing Address Cityc,�i'� I-;*<V State A1,4/ Zip Code City State Zip Code Phone-2/k y6�2 095'2- Other Ph. 6!;? Phone Other Ph. Lien/Title Holder /✓'O&ZE Contractor Reg. # Exp. E mail address "" E Mail Address Drivers Lic. # /J o o 6 DOB / - U 7 L� Drivers Lic. # DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic X Existing Septic Connect to Water System XName of Water System LA�ri: ll/►'1,��1�C�' Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. - Fire District -5 Legal Description LeZ"'�Y-/v9 Z-9.fc U,,- y Llj4 /90 Site Address (Please include street ame, street number and city) % 41 1 R Directions t_o site © A Will timber be cut and sold ifffarcel preparation?Yes/(!S�' Is property within 200' of Saltwater Lake River/Creek _Pond Wetland Seasonal Runoff Stream Slopes or Bluff--s _�' 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes TYPE OF JOB - New-.&_.Add—Alt Repair Other PRIMARY RESIDENCE ® SEASONAL ❑ Use of Building Sec- Describe Work No. of Bedrooms No. of Bathroom �! Square Footage- 1st Floor lylc 2nd Floor----`?�02/ 3rd Floor Basement Deck Q—Covered Deck Other Sq. ft. 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 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 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 MEANS OFAPR9GRESS INSPECTION.IN CTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Date: -12-- U T Owner/Ow rg- epresentative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Intectiokj Plan Review Fee EH Review Fee Plumbing & Base Fee Planninq Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269a On the web www.co.mason.wa.us 2 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner J/-i : /', ._; �_Fa,',` ,� fir' Company Name Mailing Address Mailing Address City.+� .,;: State L Zip Code City State Zip Code Phone ' ' 'r Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address E Mail Address Drivers Lic.#±,i :.,;. DOB Drivers Lic. # DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic. Existing Septic Connect to Water System X Name of Water Systemw Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. -= ! ..` "' >s Fire District Legal Description ' ; Site Address (Please include street name, street number and city) Directions to site r Will timber be cut and sold in parcel preparation?Yes/No 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?YesmQ TYPE OF JOB,-,New X' Add Alt Repair Other PRIMARY RESIDENCE f] SEASONAL ❑ Use of Building Describe Work No. of Bedrooms = No. of Bathrooms Square Footage- 1st. Floor f.k 2nd Floor. 3rd Floor Basement Deck Covered Deck--Other Sq. ft. Garage Attached Detach.?;a -- 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 Cerll`ic ation No. OWNER/BUILDER Acknowledges submission of inaccurate information may result n < ,;op work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners is(-4al representative,or the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the appficati..::r.. 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 MEANS OFAPROGRESS INSPECTION.INACTIVITY OF THIS PERMITAPPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. X Date: -' Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department 1 Fire Marshal ' FEES Building Permit Fee Site Inspection 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 MASON COUNTY PERMIT NO. 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 R' APPLICANT INFORMATION CONTRACTOR INFORMATION Owner LbgC k li AA,;,j J .j r1,i Company Name Mailing Address �' -S't- ;t Li'rr� Mailing Address� City.. 2y1-4.77'2' State 1 4 Zip Code ;,r City State Zip Code Phone T-L `5 <' i «2 5 Other Ph. ;'$ .%ry Phone Other Ph. Lien/Title Holder A/c:,�/L Contractor Reg. # Exp. E mail address "" E Mail Address Drivers Lic. DOB :" .2 .; {.. Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic_.. Existing Septic Connect to Water System X Name of Water System �.'s ' 4;_ ' :fig Well Sewer System Name of Sewer System PARCEL INFORMATION 12 Digit Parcel No., 7-,�L./.2 7 .7 Fire District - Legal Description ` Site Address (Please include street name, street numberand city) 7,�' ='��t? ;�, _ 'r a'��f Directions to site Will timber be cut and sold i+h parcel preparation?Yes/ Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes car Bluff- fs 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yesmal TYPE OF JOB - New_ _Add Alt Repair Other PR MARY RESIDENCE 0 SEASONAL ❑ Use of Building Describe Work No. of Bedrooms No. of Bathroom fs��j-Square Footage 1st Fl i__.,4�� 2nd Floor r 3rd Floor Basement-__ Deck Covered Deck___.. Other Sq. ft. Garage Attached —_ -Detacn,r-d Carport. .—_. Attached Detached MANUFACTURED HOME INFORMATION - Make __.`��. Model Year Length Width Serial No. ---No. cf Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit? Yes/ No Installer Name Ce,t`i;cation No. OWNER/BUILDER Acknowledges submission of inaccurate information may result i,i ,;.top work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners jai ,.:presentative, or the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the appiicatier;. i Declare that I have obtained the permission from all the necessary parties. If permission is required from any easement holder or any othe party A 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 MEANS OFA PROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. X �� _. _ Date;., .! } 7 Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: : r Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee gl Site Ins ectiorl 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 A61C`' Pre-Paid at Submittal Valuation $ TOTAL FEES MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Eima (360) 482-5269 On the vvebwww.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION �,'",.1.. ,,. : Company Name Owner +�/r C k :°�• �a;''` Mailing Address 6'240 . � t �, -ij t' - Mailing Address_ State d,.,'►' Zip Code '' City State Zip Code 5-2-Phone « ' �9 5 Other Ph. '`� "_:. � Phone Other Ph. Lien/Title Holder fir;,r,. I Contractor Reg. # Exp. E mail address '"" E Mail Address Drivers Lic.# _ "t DOB ,,? Drivers Lic # DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic__ X — Existing Septic Connect to Water System X _Name of Water System ' Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. ".z, Fire District Legal Description Site Address (Please include street name, street nurriber and city) Directions to site ,2 iAY," �<` x i� -/ � `__ a ? 7 Will timber be cut and sold in parcel preparation?Yes/,No Is property within 200' of Saltwater Lake River/ Creek Pond Wetland Seasonal Runoff Stream_.—__—Slopes(�; Bi+.fFs 15%_-_ Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yesnq� TYPE OF JOB - New„ _ Add Alt Repair Other ._____.— PRIMARY RESIDENCE 0 SEASONAL ❑ Use of Building --Describe Work s No. of Bedroom No. of Bathroomt'. A. Square Footage .t ; �� f r'7 2nd Floor 3rd Floor Basement_ __ Deck Covered Deck__. --Other Sq. ft. Garage Attached Detaci,r d .-..- _ Carper. Attached Detached MANUFACTURED HOME INFORMATION - Make _-Model Year Length Width Serial No._ - --No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ _ i= r4placement Unit? Yes/ No Installer Name C��rtitication No. OWNER/BUILDER Acknowledges submission of inaccurate information may rest r: ir< a et p work order or permit revocation. Acknowledgement of such is by signature below. i declare that I am the owner, own% ;s 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 :ppE ;z;:i r'? l declare that I have obtained the permission from all the necessary parties. If permission is required from any easement holder or any other tart; 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�•.ork is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OFAPROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. X f __ D a te,_ ___ Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by:` Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES t Building Department Planning Department Environmental Health Department Fire Marshal r FEES Buildinq Permit Fee Site Inspection 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 FORM MUST BE COMPLETED IN INK PERMIT NO.1 1 - 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) 482-5269 On the web www.co.mason.wa.us APPLICANT INF RM TI CONTRACTOR INFORMATION Owner _ Company Name Mailing Addres Mailing Address CityjAe,77�®-e-7 State f,e/z7Zip Code t City State Zip Code Phone.f&O 122 0912, Other Ph.4UZ, - U Phone Other Ph. Lien/Title Holder_„ f'- Contractor Reg.4 Exp. E mail address — E Mail Address Drivers Lic.# -S a'/ DOB //-.26 c7 Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic ✓ Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. c7 Fire District Legal Description 'OM2 19C2 Site Address (Please include street name, street number and city) % .�. ^' Directions to site`! �apj '► 0Ai//f9dC /I'-e- ( �J/ -� A 5 -17f.3rP- a r Pr i✓ 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 v 7 7 Location of Fixtures/Units- 1 st Floor--Z�2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNIZS Type of Fixture No. of Fixtures Fees Fuel Type:ElectriG_ LPG— Natural Gas_ Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink J6-1 1/0 Furnace Bath Tubs / 7. -0 Heatpumps Showers ! a Spot Vent Fan g.10 Water Heater 7- 70 Propane Tank Clothes Washer i 7. 70 Gas Outlets Kithen Sinks / 7- 2.0 Wood/Gas/Pellet Stove Dishwasher i :2• )Q Kitchen Exhaust Hood Hosebibs / -7- )-' Dryer Vent 1- vc► Other Other,�,r/��7/ Al Base Fee •2•o° Base Fee TOTAL PLUMBING 71-7 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 accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONT TION �ISBYS OF A PROGRESS INSPECTION. X _ Date: -/t Owner/Owners epresentative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THI§POINT Accepted b . Planning Pd Ck# Date Bid Pd Receipt No. DEPARTM NTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Type Constr. Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Ins ection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES ' MASON COUNTY PERMIT NO. 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 On the web www.co.mason.wa.us APPLICANT INFORMATION : CONTRACTOR INFORMATION Owner '' `` ' Company Name Mailing Address/2 _ f< �, ' 6` Mailing Address City " ' State '' Zip Code ~` City Mate Zip Code Phone ' " Other Ph. ` Phone Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address E Mail Address Drivers Lic.#, % '= :. DOB ;; Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. 'rz .i .k f' f` Fire District Legal Description %- ` Site Address (Please include street name, street number and city) Directions to site ` 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/Units- 1 st Floor , 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric=_ LPC__ Natural Gas_ Heat Pump_ Toilets '-> Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs , Heatpumps ------- Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer f Gas Outlets Kithen Sinks t Wood/Gas/PelletStove_ �T Dishwasher ' Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other ?- Base Fee r Base Fee 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 accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: . Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Type 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 PERMIT NO. 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 On the web www.co.mason.wa.us APPLICANT INFORMATION j CONTRACTOR INFORMATION Owner , !49 c;' Company Name Mailin�Addresgt� -a i' _n' ° 7r —�—.— Mailing Address City state ,,/,'l Zip Code ' ' City State Zip Code '-1',*':{ " Other Ph. `` ' ' ' Phone Other Ph. Lien/Title Holder ' F Contractor Reg.# Exp. E mail address E Mail Address Drivers Lic.# '.'fe'�-+" ;r l� �e<Z, DOB _ ` Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION2 Digit Parcel No. .:-= ^ r' z•°<;7 Fine.D trict �. - 1,- E 1 4fis Legal Description Site Address (Please include street name, street,number andlcity) Directions to site Is property within 200'of Saltwater Lake River/Creek Pond Wetland—Season al Runoff Stream Slopes or Bluffs 1 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units - 1 st Floor °` 2nd Floor 'K' Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric ' LPQ-- Natural Gas_ Heat Pump_ Toilets _ / T_ Type of Unit No. of Units Fees Bathroom Sink - Furnace Bath Heatpumps _ Showers s 4i Spot Vent Fan '`" Water Heater ` _ Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Dryer Vent Hosebibs — — —r h Oter � `" Other — '7-— Base Fee ' Base Fee '�" 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 accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINUATION O VfFORK IS BY. EANS OF A PROGRESS INSPECTION. P .O!F x.... ',,.. -.. - .. X ::. .>. . r .� Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS;POINT ,`Accepted by Planning Pd Ck# Date . r Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department rr Occ Group—Type Constr. �—' Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Ins ection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES PERMIT NO. t ` 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 On the web www.co.mason.wa.us APPLICANT INFORMATION . CONTRACTOR INFORMATION Owner ift ,�'f Company Name MailinaAddresS7,� ca �Z /' r x,,art r/ Mailing Address ,r'` � � 9 City, State' ,�/ Zip Code '*°� �' City Mate Zip Code Phone 176,L; 22%' - Other Ph.�' 'e s'" "e.' Phone Other Ph. Lien/Title Holder �a" " ;"°�" Contractor Reg.# Exp. E mail address E Mail Address Drivers Lic.# ,S 7,a W 'r'' DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic. Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. ,.2�12 2 - ,3 c x,/0 Fire District Legal Description -, ' '_/429 �° a,< ' >�x a" / ; '— ; '- Site Address (Please include street name, street number and city /.'ar7",r9fi `: , f`<<^ /-'� )' Directions to site ' �' Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff—Stream—Slopes or Bluffs J 15% TYPE OF JOB - New °" Add Alt Repair Other Use of Building Location of Fixtures/Units- 1 st Floor L 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPQ_ Natural Gam_ Heat Pump_ Toilets � 131:- + Type of Unit No. of Units Fees Bathroom Sink - -- t- °/(w; Furnace Bath Tubs ¢ T. .r Heatpumps Showers Spot Vent Fan Water Heater r Propane Tank Clothes Washer / Gas Outlets Kithen Sinks r .7, 7 j Wood/Gas/Pellet Stove Dishwasher ' ).b Kitchen Exhaust Hood Hosebibs / } Dryer Vent Other Other:` rj° `7 !a r Base Fee ).''`�° Base Fee ��•�� TOTAL PLUMBING 70 1 1 TOTAL MECHANICAL G '� 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 parry 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. PROOF OF CONTINUfTIONOF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: ' " Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted byf Planning Pd Ck# Date " Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Type 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 Q E AM [Auu 2 2 Zaa� Jerome W.Morrissette&Associates Inc.,P.S. MCCD - PLANNING Civil•Municipal•Geotechnical Engineering and Planning 1700 Cooper Point Road SW,#13-2, Olympia,WA 98502-1110 (360)352-9456 / FAX(360)352-9990 15 August 2007 Mason County—Department of Community Development- Planning PO Box 279 Shelton, Washington 98584 ATTENTION: Mr. Robert Fink, Planning Manager SUBJECT: Consultant Review—Geological Assessment BLD 2007-00280—Huston—Martig (JWMA N07123-013) Dear Mr. Fink: Pursuant to Mason County Geo Tech Work Order BLD 2007-00280,the associated Geological Assessment was reviewed for compliance with Mason County Resource Ordinance— 17.01.100 Landslide Hazard Areas. I have no comments or objections with regard to the content of this report as it appears to substantially address the above referenced ordinance requirements for a Geological Assessment. I have attached a copy of the Geo Tech Work Order provided by your office authorizing this review. Should you have any further questions or require clarification,kindly contact me at(360)352-9456. Yours very truly, J. W. MORRISSETTE&ASSOCIATES INC. P.S. l �r Edward A. Wiltsie, P.E. Sr. Project Engineer/Associate MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST Owner's Name.-TAC_V, fltr..AM(1 Date: a'ao' ` Reviewed By: Documents: l� wilding Permit Application Completed S _PVdnuing Intake Checklist Completed, �ZSite plan includes:Allowable building area,roof overhangs,decks,etc. e Apparatus Access Road info required? Yes ONO • Energy Code Application Form-•Electric wall heater O Electric central furnace O LPG Furnace O Heat pump with electric fiunace O Heat pump with LPG furnace O Boiler heat e 3 ( tin � O Other:Specify: _Mechanical/Plumbing Application-WATER HEATER FUEL TYPE ZC_+n k--ingineering? Yes (Need 2 sets of calculations)No _ Geotechnical report or assessment? Yes No Snow load:_ Seismic Zone(circle one):Mor D2 Construction Plans: COMPLETE SETS �P�ans Legible ✓Recognized Scale loor evation Views ✓ross Section Foundation Plan _Roof Framing Plan Plan—Use of rooms noted(all floor levels) t/4 Floor Framing Plan-all floor levels represented? Loft,crawlspace,etc. ✓Deck Framing Plan, including covered.porch framing Plan Details: Roof framing details,truss lay-out may be needed,truss or stick framed? �k X l lk l��l^ Fier f ew _P'7 Wall Framing-Does bearing-wall height exceed 10'?(Engineering may be required) "Aloor framing: Floor joists:_ Q�a 1�0� ,Floor beams: 4 X (r) Window headers marked on plans: Typical header: I!y X !!�. LAM �f d,e-`r foundation:footing size;reinforcement l)Q Concrete Walls-Does Concrete Wall Height Excee '?(Engineering maybe required) —Landings at all exits? Less than 30"above grade? YY / N hD j20_FiA 0PfdCCtS1oVemrormationSFo—ivn- ue e? Location(s). Lindow Sizes Marked on Plans �ced wall panels(shear walls)marked on plans or lateral engineering? (Plans may not be approved if not provided.) O_2Cyage"? (Engineering maybe required) R602.10.1, 1'story of a two-story D1-45%,D2—55% e � I'1 , ENGINEERING REQUIRED: Braced wall panels/braced 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 - Environmental Health Personal Health PO BOX 1666 SHELTON, WA 98584 LOCAL(360)427-9670 BELFAIR(360)275-4467 &4468 Application for Determination of Adequacy Instructions 1. Complete Pair"I No determination can be made until Part l is fully completed 2. Complete only the portion of Part applying to the type of water system utilized. 3. Subunit com leted a libation,with attachments to the health department forreview. PART 1: Applicant/Parcel Identification Name of Applicant "— 4C � &J:�d Date 1 Z Mailing Address v ;4F c,4�✓�� Telephone ,?Lc) Assessor's Parcel Number 7 e o Water S stem Check One : eason or A lication (Check One Public/Community Water System(2 or more Building permit connections) ❑ Land use application, if so.. ❑ Individual water source(one connection), if so.. ❑ Division of land ❑ Well #of Parcels? ❑ Spring/surface water SPH9 - El • Other(explain) ❑ Boundary line adjustment ❑ Other(explain) PART 2: Water System Information Complete the section appropriate for the type of water system being evaluated for adequacy: Public Water System Name of Water System L�&,a/'�-aq Gc-���� Water Facility Inventory(WFI)Number:{1,5ci7— tw'*' The water purveyor has filed a letter granting blanket hookups to this water system. ❑ I am the manager of this water system. The water system has been approved for /a5 D services. There are presently // connections muse. This will be the 1 O connection. is water system is able and welling to prove a water to this(these)connections ,Ith out exceeding the limits of the water sy tem or any limits set by state and local regulation. Signature of Water System Manager —Date—?— 2b H:IWDATAWRCHIVEIWATERAD3.WP Update:March 22, 1999 W -