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BLD96-0693 SFR, Deck - BLD Permit / Conditions - 6/10/1996
02- Permit NO. 1o�3 MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427=9670/1-800-562-5628 PLEASE PRINT p #1fite ner /l aN i AlweN tVAII S,S' Phone# AddressST S-D-/V AQ/ SAID Fire District# i✓ St W/7. _zip— Directions to Job Site a Du T- /-/C1 l0 tv / L�F/-o.V ��,/rs!lo��f/f Y� --� 100ee. <:D OU 1` 11,*/l e(e /do o L? �5 /"7/1-9,. , /"uriN Ri mI T �t`t�c%`��i✓ Gfi/�/� /�S£ G �f c /z o,o - To /=/i�L 0 , i•v a F, r Owner Mailing Address �- a D 10Z City S/��L Td�/ )iC//f1' St Zip Lien/Title Holder D(,vi✓ Address City St Zip #2 Contractor Name Contractor Reg#L ,,-7,T f tU32fiPl Address D• g0 A' '7'0 Ex iration Date S / l�z City St (i(/A• Zip Phone# #3 If septic is located on project site, include records. bGv,c�E/t is /ti 1011-eoe'F-ss' of �- Connect to Septic? Public Water Supply Well o i-xis>�i+/y SyS1 •� �1 0� /i�9� Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 No. Wgal Description 1~/P• 2 S� G� � /���"• -5 1•t/� #5 Building Square Footage: (existing/proposed) 1 st FI 8 3 2 2nd FI 32 3rd FI / Loft / Basement / Deck 31-7 -#bedrooms_/ #bathrooms-3— Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building —Describe work NFuJ #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. #Bedrooms #Bathrooms Type of Heat Purchase Price$ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Indicate Directional b Name of Flanking Street yN, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 each) No.3 Toilets y, - CIRCLE FUEL TYPE: Gas, Electric, ,Bath Basins Heatpump, Other Bath Tubs sa Units Fees _Showers _ Furn BTU LHot Water Htr 13 _ Heatpumps �s Laundry Washer _ Vent Systems Sinks Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basins _ HP LDishwasher X._s No. Air Handling Units _Disposal _ cfm# Urinals No. Fire Protection Systems Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 16.25 _ Auto Fire Sprink Sys 35•00 TOTAL PLUMBING $ 5-25 No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 16.25 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ yF.7 S OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTA#4ING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTME X OWNER X BY DATE DATE AL USE ONLY. Accepted by: Did." i i DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: � 2-ev S14 Environmental Health: Building Plan Review _ZZ '�tl Occupancy Group: -3 Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit q go. :O Plan Check Z S- 2.S Plumbing Fee —Z Mechanical Fee 7 S Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee y S Other e3ZAZ Xq 5 _ -t41ee0 Other 3/Z x (e.SJ : ZD26 Building Valuation: 8 L=TOTALFEE S/S/_ Z SS P."t MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton,WA 98584.427-9670 PLEASE PRINT #1 Owner �-� 4 Phone#R7-413z 4Le/ --9-a33 Site Address w SOqQ-1(0 t -SV-c)12 y(14 EL,- city Sh0 r VD&1 W St Zip Directions to Job Site S V %J ?U ej _— _1_W o,J E Owner Mailing Address _1SA to q S A.1Snu& City St Zip Lien/Title Holder t Address , W City St Zip #2 Contractor Name Q.( Contractor Reg. #_T_01ZQ Address WSb -10 S Expiration date `a Sl City St Uj Zip 9 8's-8Y Phone 4Z7-Qt3-!S_22, #3 *Parcel No.521 12 -R_- GO 7 '1Z4l -.Legal Description #4 Use of building Describe work Cw t w Q Z #5 Type of Job: New )e.,Add Alt Repair 0(kn 9 . Plumbing Fixtures ($3.25 each Fee Mechanical Fixtures ($6.50 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers Furn BTU _Hot Water Htr _ Heatpumps _Laundry Washer _ Vent Systems _Sinks _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins _ HP _Dishwasher No. Air Handling_Units _Disposal _ cfm# _Urinals No. Other �Q 5� S _Other Gas Ou Woo Gas, ellet Stove'X v� 32•� Permit Basic Fee 16.25 l.0 0 -rOTAL PLUMBING $ ry`% Permit Basic Fee TOW TOTAL MECHANICAL $ / No Basic Fee for Wood, Gas, Pellet Stove NOTICE: This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. Proof of continuation of work is by means of a progress inspection. i I NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to be located outside of the existing structures, a plot plan MUST be submitted as required below: . Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems, , Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc. �U -- z2 OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC- THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE AWAREOFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH.NO CHANGES CONFORMANCE THER ITH. NO CHANGES SHALL BE MADE SHALL BE MA WITHOUT FIR TOBTAININGAPPROVALFROM WITHO IRST OBTA NG APPROVAL FROM THE BUILDING THE BUIL G EP T ENT DEP TM T. WNE >9 X BY DATE b DATE N��' Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 . 427-9670/1-800-562-5628 i O OFI=iCtA .USE ONLY,;Acxepted , by late lece�ptNo Referred'To DEPARTMENTAL REVIEW Proposal Proposal FOR OFFICIAL USE ONLY5 Approved Denied Planning: Building: Fire Marshal: Model Name: 1✓ L-wvAA. Floor Insulation: :5D Vail Insulation: a� vaulted Ceiling Insulation: Flat Ceiling Insulation: c,ua LO S1,1 l s2nb mom t UM. l.;laf'll_'l._1F-NL L k:Eh='UR 1 �5/: 6/`i+4 TIKE: A:ELWHA.WS HOUSE ID: ELWHA BASE MODEL Site: Analyst: FOSTER AND WILLIAMS ASSOC. Jurisdiction: ( ) Utilityt homeowner: ELWHA BASE MODEL House Type: Single Family Floor Area: 1664 ft2 Builder: LUMBERMEN' S HOMES Weather- Data: Olympia, WA Climate Zone: 1 s i The PROPOSED design *COMPLIES* with 1991 WA State Energy Code. _ 1 REFERENCE PROPOSED I COMPONENT .PERFORMANCE 252 237 Btu/hr-F = ENERGY BUDGET 3. 12 2 8q 2- kWh/ft.�. r i �. y REFERENCE DESIGN Reference Component Value X Area UA -.____ ____._._.____ • -•- _____ ______ _ "1 oor U-O.C>29 832 24. 1 lazing @15% U-0. 400 249.6 99.8 Doors Wa11 U-0. 200 42.0 . 8.4 AG U-0• 058 1614 93. 6 Cei1iAttic InfiltrationU-0. 0C1 832 25.8 ACH-O. ;.+,.ail 13312ft3( 85.3) ---------------------------- Refer-ence UA 252 _--------------------_---------•----._------------------------------------ PROPOSED DESIGN COMPONENTS Component Description Value X Area = UA _ .----------------------------------------- Floor R30 vented Joist 16oc U-0. 029 832 24. 1 Glazing @14% **Milgard Vinyl , #5220, S.N. CL/LE U-0. 390 - T9001- 85.4 **Milgard Vinyl ,#5120, H. S1 . CL/AR U-0. 470 \ 14.0 6.6 Doors **Peachtree U-0.090 42so 3.8 AG Wall R21 I NT T 1-1 1 U-0.C056 1631 91 .3 Ceiling R38 blown Attic STD baffled U-0.031 832 25.8 Infiltration Standard Air Sealing ACH-0. 350 133+12ft3 ( 85.3) ----------------------------- Proposed UA 237 .::.;soocgcs=a_sms.s:r.::=_=•_==ssc====:s.=csss-.s.s::::::s sc:s _:w=ss==a.:s_,a:;;`eeoacmasmxox=atmt�arasms ems in parentheses not included in COMPONENT PERFORMANCE totals. Denotes non-standard values - check calculation of thermal value. Page 1 L.:UDL:. LAJIII-k_IF-;NCE I EJ:.'GF _L. 05/26/94 FILEa A:ELWHA. WS HOUSE ID ELWHA BASE MODEL .,_-._____-=s_ti=.-.scsammaae�aasnwasomsos� Struc Mass Light Frame, Sheetrock. walls-- "M--3. 000 1664 4992 ( __-___-_-___---_ HEATING/COOLING/VENTILATING SYSTEMS PROPOSED Heating System Type: Electric: Zoned System Efficiency: 100 Modified Efficiency: 100 Design ACH: 0.35 Design Load(at 53F dt) : 17081 Btu/hr Total Load: 17081 Btu/hr System Sizes 7.5 kW ( 15(:%) Average Annual Heat: 6973 kWh Annual Cost: $ 384 Ventilation System: Integrated Spot & Whole House Cooling System: SEER: 0-0 (Unducted) Cooling Load(at 5F dt) : 13441 Btu/hr System Size (%Over) : 1 . 6 toms (@125%) Annual Cool Requirement: 449 kWh/yr- Solar- Access: Partially Shaded ------------ GLAZING ORIENTATION _-__.___--_-_-••--________________------_____---------___--- PROPOSED PROPOSED South : 58. 2ft2 North 58. 2ft2 Southeast : Northwest East a 58.2 West a 58.2 Northeast : Southwest onomic and energy consumption estimates are�designed�for+comparative parposes only. Actual cost for heating will vary depending on weather conditions, occupant lifestyle and other factors. Page 2 -_______-_-___-__=====s_====:,�=�••as: Project: - LwV4A WINDOW SCHEDULE �a TOTAL WMDOW ARXA SKYLIGHTS TOTAL SKYLIGHT AREA DOORS MoDaL • w TOTAL DOOR AREA MASON COUNTY DEPARTMENT of HEALTH SERVICES Shelton,Washington 98584 (360)427-9670• Belfair:275-4467 ENVIRONMENTAL HEALTH PERSONAL HEALTH WATER QUA P.O. BOX 1666 303 N. FOURTH P.O. BOX To: �O� Lu t SS Date: Lc), jd Sf 0 )v l Sdcc�ieu►tit�s ti ifa l C RAP, J k.¢, 144L,. Uj A.) 42 IV f S,q Your building permit cannot be issued by Mason County Environmental Health until the following items are completed and turned in: ( ) Application of water Adequacy ( ) Approved septic system and approved septic design. ( A complete and accurate scaled plot plan ( A septic tank pumpers report, within the last three years ( Other: a-S- k:� i h S�6c L�y a .f SyS t�,. ✓' NOTE: To speed the processing of your building permit, please include your building permit number and parcel number on the inforamtion you provide. I have provided that information below. Building permit # qb -06 Parcel # .If you have any questions, please feel free to contact me at 427-9670 ext. 534 f .Jim Tobey Environmental Health Specialist APPLICANT NAME: + a— .Q l Dl DATE: v" BUILDING PERMIT CHECKLIST SITE ADDRESS If site address is not listed, customer needs to be given a site address form. FIRE DISTRICTS Please make sure the fire district is included in the application information. Refer to map located at counter. DIRECTIONS TO JOB SITE Needs to be as complete as possible p.e. major roads, is house on left or right side of road, etc.). Be sure to read for clarity (Landmarks, signage, owners name on mailbox, etc.?). LIENMTLE HOLDER Who holds the mortgage (Bank or name of private owner holding contract)? ❑ CONTRACTOR REGISTRATION #AND EXPIRATION DATE This information needs to be provided. The Building Department may be able to research expiration information if customer does not know it. We must have a signature in 1 of the 2 boxes, either the applicant or the contractor. ❑ SEPTIC RECORDS A B WATER *REMODEL Y q SEPTIC DESIGN APP. DEV N STATUS IS THIS A REPLACEMENT UNIT? YES NO IF SO: MASON COUNTY BUILDING PERMIT APPLICATION SECTION #5,BUILDING SQUARE FOOTAGE, MUST BE FILLED OUT COMPLETELY. AND: SECTION #6 MUST CLEARLY STATE, "REPLACEMENT UNIT" PARCEL# Parcel #must be included or researched through Gateway. BUILDING SQUARE FOOTAGE Verify that boxes are filled in. If there is a garage, verify whether it is attached or detached. Include square footage information,for mobile homes (you can multiply length X width to deb n I USE OF BUILDING Is it a residence, garage, greenhouse, etc. . .? D _ D DESCRIBE WORK SON 10 1996 (i.e. mobile home addition, addition to a house, etc. . .) TYPE OF JOB tCAI TN ,ql=R „/"�F(. Verify appropriate boxes are marked. ���'1= MOBILE HOME INFORMATION Verify appropriate boxes are marked. If factory order, please put factory order#in mobile home serial#. If unit was assembled prior to June 15, 1976, refer to procedures handout for "Obtaining Installation Permits for Mobiles Assembled Prior to June 15, 1976." 1 SHORELINES If any water is on or adjacent to property within 200 feet, #9 must be complete. Once permit is entered into Tidemark, it will be routed to the Planning Department. If property is not on water, then put "none" or "n/a". \❑ SITE PLAN DRAWING Must have setbacks from all property lines, easement lines and structures. Drainfields septic tank location, outbuildings, etc. . . TOPOGRAPHY DRAWING If property is flat write *flat".on the topography section. If house or structure is near a slope or hill, drawing must reflect this. PLUMBING/MECHANICAL This form must be completed for any structure with plumbing and mechanical excluding mobiles/modulars. OWNER OR CONTRACTOR AFFIDAVIT Owner or contractor must sign affidavit statement and date it. ACCEPTED BY Whoever is accepting permit information must sign your initials and date form on the bottom of page 3 or use date stamp and initial on back of permit. PRINTS Need two sets of prints unless it is a stock plan. For stock plans, we only require one copy. WATER ADEQUACY For new residences and mobiles. PRIVATE WELLS MUST HAVE WELL LOGS OR CAPACITY TESTS BACTERIAL TEST. If they are on a public water system, verify the water system is in compliance with State requirements. WSEC &V &IAQ CODE Required for all residential, additions and commercial buildings. Energy Code compliance form needs to be COMPLETED. Verify heat sauce(no wood or pellet stoves.are permitted as primary system). Window schedule must be filled out and reflect what appears on submitted building plans. If applicant has decided to go with the PUD in a Long Term Super Good Cents program, we require a copy of the signed agreement with the utility. ROAD ACCESS PERMIT If you will be accessing your driveway from a County road, contact the Public Works Department in Mason County Building I,427-9670 extension 450. Access from State Highways requires Department of Transportation approval. Contact office (206)895-4753 (Port Orchard). ACCEPTED BY: •• DO NOT ACCEPT PERMIT APPLICATION WITHOUT PRINTS AND REQUIRED DETAILED INFORMATION (SETBACKS, ADDRESSES, PARCEL # AND WATER). checklst.blg 9/20/93 2 pi q6 / BUILDING ERMIT # ^06 � 3 (o ? /�viss wceO V-- J DATE Planner Area G � � 21IZ - s � _ 00 -2So CHECKLIST FOR PROPOSED CONSTRUCTION Yes No [ l [ Within 200 FT of designated shoreline, wetland, or associated wetland Where? [ ] [ ] Proposed construction on/over/in wetland l [ 7 Proposed construction within floodplain [ Eagle nest State road access needed Commercial Development (parking standards, sign ordinance, public works review, other applicable agencies) [ ] [ ] Mobile Home or RV Park [ 7 [ ] Exempt from building permit application I 7 [ ] Exempt from SEPA process (WAC 197-11-305, WAC 197-11-800) [ ] [ ] Meets all requirements (which section(s) of SMP does proposed construction pertain to?) [ ] [ ] Variance or Conditional Use Permit required [ ] [ ] Exempt from Shoreline Substantial Development Permit process (Wac 173-14-040) [ 7 [ 7 Exempt from Substantial Development, but within Army Corp_ jurisdiction (WAC 173 -14-115) [ ) [ ] Address needed i 1 DJ ct ic- d t Date Checklist Prepared �—� MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1991 WSEC AND V&IAQ CODE COMPLIANCE Permit Number q& -o(0 2 Address 56 l/l g4 Rot Sq. Ft. /loft Name on Permit 7~6)/-5$_ ;20n ;r ej,re-on Contractor/Phone &m6e,-emn� Compliance Method: -j Prescriptive (Option) Component ( ) Systems Analysis Date FOUNDATION Insp. Rev. ( ) ( ) Slab:R- (Ext foundation down to frostline/slab bottom;or interior 24"top of slab&horizontal. Radiant under entire.) ( ) ( ) Below grade exterior wall insulation: R- ( ) �) Crawlspace ventilation: S. J� (1 sq.ft.h/150 sq.ft.floor area-cross vented) FRAMIN ) Standard ) Intermediate ( ) Advanced ( ) rksi�- Woodstoves and/or fireplaces: (6 sq.inches combustion air supply dud with damper direct to firebox.) ( ) (v ) Standard air seal: (Bottom plate/subfloor,rimioist/mudsill,window/door frames,penetrations condition to non-condition.) Attic ventilation(1 sq.ft.hwi50 sq.ft ceiling area) - - Sp —5—5-0 Spot exhaust fans: (4"exhaust-bath/laundry 50 cfm @.25 WG;kitchen 100 cfm @.25 WG. Vented out with dampers.) Fresh air ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.) ( ) '(4 Whole house exhaust fan:;kv)cfm(Intermittent system manual&auto controls/sone less than or=to 1.5 at.1 WG) INSULATION ( ) �`►) Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6" above batt insulation) Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.) Wall insulation above grade) R- ~( g ) �(Batts face stapled) ( ) ( ) Wall insulation(below grade-interior) R- (Batts face Stapled) Vapor retarders on walls (Faced batt,or 4 mil poly or perm.paint-circle one) Rim Joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly.) ( ) ( ) Vaulted ceiling insulation R- (Vapor retarder&I"airspace) FINAL ( ) ) Floor insulation R- (Substantial contact w/surface,supports less than or=to 24"OC,not blocking vents.) Ventilation system is operational(spot,whole house,fresh air to all habitable rooms. If integrated system,certification by installer is required.) ( ) ( ) HVAC ducts in unconditioned areas R-8 (Joints sealed;mechanically fastened with a minimum of 3 fasteners.) Pipe insulation R-3 (Hot and cold lines in unconditioned areas-service or recire.see Table 5-12). ( ) (V) SHW heaters: (NAECA label,separate power or gas shut-off,on R-10 pad if electric in unconditioned or on concrete.) Heating system type: 5-7 1e4Ctr(C- YnO0r-+}— A(o t) 24 v,Yed Radon monitor on site with instructions.No. - Supplied by MCBD ( ) ) Thermostat: (Heat range 55-75;AC 70-85;both 55-85. Backup heat controls(lockout)prevent simultaneous operation of primary system.) ( ) ( ) Solid fuel appls.: (Guss/metal tight-fitting doors;dir.comb.air source,or 4"dia.dampened,indir.source for existing consQ Ground cover: (6 mil black polyethylene or approved equal lapped 12"at joints,extending to foundation wall.) Penetrations(All exterior wall ceiling penetrations sealed to drywall-plumbing,exposed beams,wall reoeptacles,fans,recessed lights.) Ceiling Insulation R (Insulate&weatherstrip access,baffle to prevent spillover-no cardboard) ( ) (v) Vapor retarder paint if a vapor retarder was not installed when insulation was installed. GLAZING Plan Reviewer-Fill out this glazing section or attach a window schedule to this checklist. Impmtor- Verify window information during field inspections. Include skylights,glass doors and all other glazing on this form. Use rough opening area for calculations. Date Size Quantity Area S . R. U-Value Manufacturer Rev: Insp. 0 oP144 It /3 /05 •Sw k 1l o�3ty 7 `3 0c3 /O. > b 50 0 `S Total glazing area: a / 7 s Total conditioned area: ! Li Co'f- Percentage glazing: /3 Verified: DOORS Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. jnspector- Verify door information during field inspection. Date Type/Quantity U-Value Manufacturer Rev. Insp.yy '50 Signature of Building Inspector: Date of Final Inspection: "MC SQUARED, INC. Job: OLYMPIA, WASHINGTON 98506 n (360)754-9339 Date: FAX(360)352-20" Sheet: Page l of 3 A E C E I V E0 S E P 18 1996 SrzvcrvR,4L Vdra:: S a FOSTER&WILLIAMS ARCHITECTS L^� me Er PAr.arcie k�oAcr F_y :4k Yt 1i�• �Po WA o9 Q 9 2�so w ST� Ss�ONA L I v ExwnEB U(II910) I I I I -� 2 • /%�/1 i IoW i $NEATNING , 2X4 FLAT P3L.00KJNG A38 CLI" 02A" oC NAIL !Z)-ROA dd* 8R"Q'601'1 L6TA9 BTR�YX'CH�vL EA I OW ,� AT 4$OC 5 t,O iZ' OG 'TO ALG OMO D ATE, �T"7 LOUM?t FROM TiiJN �I $X& 15LOCKNNG 2X4 13LOCKINrs 'I , 1X6 M06 16" OC I Lus.ti, ` H�GAT�t�ut. — Si.AC-10A U 'L� a i @ 4-0 1 y� ove K L � -ctal N�cs�c�r'�a �HT�-Y To �'►�' •4�--r u��- �t��.rc�Y�a r-t b'-9q ol { l//-7 2 -t - - - - - - - - - - t- - - - - - - - - -- — — — — — — — r --t— 5/4 x 4 SPACED pEI�KING T1'P. - --- -- _ 3m boleas TT- k iv. I i � I ;i 1 I �� ' I • IVIN lz — I F- , 'i � j I �p a • IR } � 4 r3'= I { F L MG SOR I Q11. B: . (T`r'PJ 1 ' �'l I �p . j I � I FOREST LAND SURVEYS Richard B. Norris Professional Land Surveyor o P.O. Box 397 ,. Shelton, WA 98584 (206) 427-5530 DIVED J U N 2 0 1996 -r' 0"-NNNG DEPT. 19`6 Re: Elevation certification To Whom It May Concern: This is to inform you that I have been retained by /Ro 7 rw/S5 Y04AC.e4 No. .S Z/Z Z. - 3/ - °a LSO to certify that the as built, first floor elevation of a new home in Section 12- , Township z/ North, Range S— West in Mason County, Washington, is at least two (2) feet above finish grade. Sincerely, RICHARD B. NORRIS Forest Land Surveys RBN:pan MASON COUNTY DEPARTMENT Of HEALTH SERVICES Shelton;Washington 9&W (360)427-9670• Belfair:275-4467 WATER QUA j PtRSONAL HEALTH P.O. BOX ENVIRONMENTAL HEALTH 303 N. FOURTH P.O.BOX 1666 Date: (o /31jb To: nii �wt SS RAP, Your building permit cannot be issued by Mason County Environmental Health until the following items are completed and turned in: ( ) Application of Water Adequacy ( ) Approved septic system and approved septic design. (A A complete and accurate scaled plot plan NA Aseptic tank pumpers report, within the last three years (?C1 other: - tt ► �?c I l�Y a S S�a.>, d V' t ' r NOTE: To speed the processing of your building permit, please include your building permit number and Parcel number on the inforamtion you Provide- I have provided that information below. Building permit # qb D y� parcel # ,If you have any questions, please feel free to contact me at 427-9670 ext. S34 .Jim Tobey Environmental Health Specialist I E VC SQUARED, INC. Job: OLYMPIA,WASHINGTON 98506 (360)754-9339 Date: Bv: FAX(360)352-20" Sheet: Page l of 3 flECEIVE _ ,,�� S E:P 18 1996 STRVLTVRAI. (/er,ar.c. Ic FOSTER&WILLIAMS ARCHITECTS MCI 2r PATRicbe PuoApr W G o y, slONAt_ t, sxr;nes Gy/i I I I ;i g14EATWMG 2X4 FLAT MOCKMG A35 CUP'S 02A" OC Or NAIL !2)-l�OIUB 8d'S 4�j SR'fi'8A'i LSTA9 eTRANY^'CH / 5 t-OT 'vim . 12' OG EA POW AT'�O IiGc 0�^O[�ATE �TRk r7 LOUFR ROOF TTWM �I I2Xb MOCKING I; 2X4 DLOCKWA 2Xb SCUPS • lb* oC I I,uvw ` H�GAT►-t�ut. i 51.A(J�lV� t is i U �ON1JA'CL TI 0�J i ; - -s" --- __�'-Iran _------- - j a 30 4 -� - - - - - - - - - - - - - —} 5/4 x 4 9f'ACEp DE�ICR�Cs TYP• I L IVIN to — i Z lu'! _ �� IS - t 1 J : m• 9 ,R sl LNG ! ! It .j- Nds PLOT PLAN: Ron & Karen Twiss Scale 1 " = 40' Parcel # 52112 31 00250 , �xi5rl.* 1c/E L.L A10 /oo Bo, Wo � A ,-C ' f TR 25 OF NE SW � I , �I JAI zzo� LUMBERMEN'S HOMES Final Approved COPY Subject to approved CMW*..orders 4 10W lag .,. vLeA- ta'e '~ +�ii'M =�!"'s c"'i Qi7 +� ttl !!''' PA ft� Q t�! 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