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HomeMy WebLinkAboutBLD2000-00747 SFR, Deck - BLD Permit / Conditions - 6/23/2000 * � y�,ti PERMIT NO.: BLDO -02'1 `/ MASON COUNTY � ( � � I'� BUILDING PERMIT APPLICATION 426 W.Cedar/PD.Boz'186,Shelton,WA 98584 Vab Shelton 360 427-9670 Belfair 360 275.4467 Elma 360 482-5269 Seattle 206 464-6968 AFPLI ANT INFORMATION CONTRACTOR INFORMAT N I Owner k Contractor Name Mailing ddress - 4 Mailing Ad ress .t City (�iu'� State Zip Code City i S 1 1 �Vtate U314, Zlp Code '1 Phone '-zL t- `14,$�- .Other Ph.( er Ph.(') I-b ) \ Lien/Title Holder Contractor Re # M 4I Address Expiration/ 2 / SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic - Existin Se ti Connect to Sewer System Name of Sewer System Well 71 Wa er System Name of Water System PARCEL INFORMATION-12 igit ax Parc No. 2 / S7/ �' 0`0 1 Fire District Legal Description Site Address(Please include street name, street number and city) K- Direc ions to site "- Will timber be cut and sold in parcel prepa ation? (Yes/No) AJC� Is your property within 200' of the following:Body of Water (Name) I�0O i CA-Y\A d Saltwater j Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB Newer Add Alt Repair Other Use of Building Describe Work ��_���, No. of Bedrooms2,�No. of athrooms SQUARE FOOTAGE-1st Floor = 2nd Floor_ 3rd Floor Loft �15 Basement Deck Other sq. ft. i 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. 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-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 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 don in confor nce therewith. NLhangesshall be made without approval. first obt inir approva X Date 00 X Dat fl19 j ,Z,FOR OF 1CIAL US BEYOND THIS POINT I Acc by �-.� Date - [�� ittal Amount Due Receipt N Jd I DEPARTMENTAL,REVIM.. APPRQvl;p DENIED CC3NDITIC�N CC�;pES Building Department may` Occ Group Type Constr. 50 aq Planning Department i Environmental Health Department fI Public Works Department Fire Marshal 1 I n Valuation $ ��� 3)3, ® 2- :.SEES ...::::..:... ,. .. . Building Permit Fee Site Inspection Plan Review Fee y UFC Plan Review Fee Plumbing & Base Fee ` 00 as` Public Works Review Fee Mechanical & Base Fee L 3 . a5 Other C�Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ><<>< <�'>'•'><wx»<s «�., } «:�:• �.�.•�:.:�..tr>x�:�..�•,+..»x<.:..}•<• TOTAL FEES }:vx•:•:•:•:: }r 4L'i}i.�Yt..::'}'F.•x...,::{:+.•::'•.4,'�,v'}:v'•:v'•.,::•t:�,}:•'}'•:•':•�,':ti'�}i�:.>•::ti:'+ii:L•::,'+•�Y$ti�k•,:;. PERMIT NO.: BLD MASON.COUNTY BUILDING PERMIT APPLICATION M426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 48U269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner ! 't j, ?bb+ ` �&y Contractor Name [A _ C J Mailing Address ^' ; ` y ;.'L�: Mailing Address City s . " VU<� State Zip Code City State C-A Zlp Code > `, Phone(' ;L1 Other Ph.( Other Ph.(j� �i t, . Lien/Title Holder Contractor RV. # °�"' `r•n �� r l I `)t Address Expiration / =' 1 / i SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existin Se ti Connect to Sewer System Name of Sewer System Well Wa er System Name of Water System C L FORMATION-12 digit Tax Parcel;No. 'e /!; / y (',' Fire District Des ription to Add ss(Please include street name, street number and city) # '<`" t -: " Direc ` s to site �_ '" i try= ._:;k. _ -� t2• Will timber be cut and sold in parcel preps ation? (Yes/No)�_ Is your property within 200' of the following: Body of Water(Name) ' 41 = Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs s i TYPE OF JOB New k, Ad Alt Repair Other Use of Building i Describe Work No. of Bedrooms No. of'Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft 'i1z�" Basement DeckC'I 0 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 I Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) j Installer Name Certification No. i NOTICE: THIS PERMIT BECOMES NULL ik 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. 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 insp"tion of this project. Acknowledgment of such is by signature below: OWI�ER 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 don@ in confor ante therewith. Nochanges shall be made without approval. first obtainino;approva ( ll k , Date [✓ ` X t i tVL4,,Dat ^'C. d>� ur 1 FOR OF ICIAL USE.BEYOND THIS POINT Acc by �,` Date -' - { � ittal Amount Due L` ' i Receipt No,;,) Jt3 r`_1 DEPARTMENTAi!: REV E�1f APPRQ)fED RENI D C(JiiNpl'IiI;f3N 7p Building Department Occ Group Type Constr. Planning Department Im 41 Environmental Health Department Public Works Department Fire Marshal Valuation $ X. .....:,: .... Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Q Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal 4 '� <f>k< :>w;s,:::.:sr: .,.;>, F.:> .. v{•<:> ;> ': TOTAL FEES t;<:�.Ci?•::i4 '.,:rr;..'.i ,a.. tr:'9'.o'�.0 .sea,'.�r`.`•x`ai..::+:.•�.oi:h:• PERMIT NO.: BED 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name ""✓ Mailing Address Mailing Address City State. Zip Code City State , Zip Code Phone( Other Ph.( Ph.Ph.0 ) '" g Other Ph. �r t Lien/Title Holder Contractor Reg. # Address Expiration / ! SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existi,n Se ti 19r' Connect to Sewer System Name of Sewer System We1Ia er System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. t / / Fire District Legal Description i Site Address(Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparation? (Yes/No)1�J Is your property within 200' of the following: Body of Water(Name) ► Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs �. TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms" SQUARE FOOTAGE-1st Floor" 2nd Floor " ;' 3rd Floor Loft --`- Basement Decks,-l" 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: OWJJ,ER 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 obtaining approva4 X ... Date X Dat@_.., .�..�-� FOR OFFICIAL USE BEYOND THIS POINT Accepted by Dater- Submittal Amount Due tI p ys i Recei t No y kR' ME 1T 1..:.1 V1 1t I ENI Ia :: t3 lR �V.70, Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ y.................................................. .. ,r.:.:::::::.:•.^:::.........:::::::.::-..;::.:C•:.i-. ,::....,.......................•r:iiiii:•ii:•ii'.F.;;r.;;:;:}�::.ff:.::.;::�.. ::J:-•:•:v:•.�::::::v::::::::•::n;•. :•::::;• i....... ...::.::...:.:.:'::;...::•:::::::::f::!v:::;....v:::::ry�:::;.::v......::.:::::::::....v....:.., r.n...ff ... ::-::3i:•i:.:.:!/! ......f.. rf.r......... :...:.:.: ..:.:.....n.:...: :. ...:......:...............::............. ................ ....................................................:.. :...:.............:::.:.::.::...f,:.:::..:::,...�..::.:.:..::::.::.:�.:�::::.+.:.:f:�::::.:u:::::::..::f:.:::::::::v::::rr::.::::::::v::::::::::•:.:::::::::::::.�.:�::::::::::::::::::•::;:::::::.'.•.v:::::.�:.::v::::::::: Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Wood/Gas/Pellet Stove Fee Other 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 98584 Shelton 360 427-9670 Belfair 360 275.4467 Elma 360 482-5269 Seattle 206 464-6968 APPLIChANT INFORMATION CONTRACTOR INF R TIO Owners Contractor Name Mai ' g ddress w Mailin A dress City State WPA. Zip Code City State Zip Code togi Phone a ther Ph.( Ph. her Ph.(3(ta ) (e LienlTitle Holder Contractor Re . # Address Expiration [SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 di it Tax Paratel No. 22 � / 5-0 / 9oo k1 Fire District Legal Description —G Q- 85 Site Address(Pleaclude street name street number and city a in Directions to site -D 4 vW b h ►�. t~S Is your property within 200' of the following: Body of Water(Name) r'.,lezo l_,ta�1-4-1 I Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stridam Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building i✓ C.�. Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MEC A ICAL 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 Bath Tubs Heatpumps 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: Lfor IDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a gistration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance which this permit's issued and that all work will be done in requirements regulating the work f which this permit is issued and all work h�j chi �s shall be made without first obtaining shall be done'n inn rma ce t ith. No changes shall be made without first o t ining p rov . Dat 0 0 X I Datz3� FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. :;:::: ......... EP31# t`MO-TAU". I:i l..........................lk Fti?VI Fi:::::>:::::::C?t loll i3................................. 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.: MASON COUNTY i ;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 APPLI NT INFORMATION CONTRACTOR INF R jATION Owner C L. Nj t bl bJ . Contractor Name Mai' g ddress t~ 4 Mailin A dress U City � Q Jc Stgle N 4 Zip Code City State Zip Code Phone `f( Z ) (other Ph. r Ph. a Othe Pam( (o Lien/Title Holder Contractor R9g. # l KlJ Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic,L Corct to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. 2 ZZ 1 \ / S © / Fire District Legal Description �N5 C 1� �s V Site Address(Plea a include street name street number and city... 5 b 4.. Directions to site -� vf,�b 4vv4,j 1-. E v� , t i /" Is your property within 200' of the following: Body of Water(Name) Q. ` ,4.y\o I Saltwater Lake River/Creek Pond Wetland Seasonal Runoff 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) MECRAWICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG A Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater Propane Tank Laundry Wsher T Gas Outlets Sinks W - 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-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 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' issued and that all work will be done in requirements regul ing the work f which this permit is issued and all work conformance with. ch es shall be made without first obtaining shall be done' c of ma ce the with. No changes shall be made without approva first o t ining p rova. D�✓ X Date''-3 Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. ::;:.:............:.....:;::;;:::. ............::::::::::::::::::::::. ICI. ... ................................................... >.:::>::::>::>::>::>::>:>:;«:f7ARTMEIN1`Alk:ttlE\ :::>::::>:::<::<::<:<::<:: >:»::: :AFFRO.. 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 v FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name �`Ci- PARCEL NUMBER 7�2 1 �(Oa Date 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 S Al Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW include ad'a ent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line- , 0 p' , Fadjacent property line 1 u 1 ' koDl 1 — I I I 1 1 I � I I � I 1 I 1 1 1 4A 1 1 1 i 1 I �7 5 adjacent property line-� vJ IDd'acent property line SAMPLE SITE PLAN adjacent property lined 3zc� _ Fadjacent property line 1 D 36" ra�scRvE 3041 .SEA_S'n%J AL_ a L _Y PTSC.._�,� J. A � MOM t 1 .GR6.EM I ,-louses I j Pao Poxn sa ptt a -+1 1 /SO �11 1 VAC.AkiT 1 T CrAMAb[5 I / 31 C0.oPosCD R\ � �k `\ A&R=ULTWiAL 50, 1 I ` I i00' 1 � r L<.eLL I I I I I I i f � 1 adjacent ro ert line / c \; E-adjacent ro ert'line I 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 dls+a.,cm fin ru.ctLa.Y� r di��'anLc. to Iled1JOAnCQ. \\\\�_�_���- •o a � 77 i Signature Date p LA a (� u• • 1 o p r r F f W 0 o mM sv 0 0 0 0 M o < a 0 0 vo m < CD m mm m 10 2o �, W O su 0 n r X L ^ CDN � _ � m � oM �CD Zo -a O !O =. r p � C 3 m 9 � c � � � C�Q x Z CD ; Z OmcmnOm � (r .. D O 7 FF = w _ O Z .. .. .. .. CD O N O Np O (1) K3 W O CD o Z 0 m m c � rn � � � OC7 < c ,. .. �? om � m D _ n N 0) o � ZO � `` O 0 C3 cWn con Co � m z z CL Z o z X (1) W (D W o O --A N 0) oa 0y �n m v mmCCDDo S. 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Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date b ( D W V WALLBOARD NAILING date by date by I P Water Line FINAL INSPECTION date by date by date by 74 Ale ` S�C=T c>.✓ Gam' �ti,�i//S, c-4J l �J V