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Home My WebLink AboutBLD0122 Final SFR - BLD Permit / Conditions - 5/3/1984 BUILDING PERMIT APPLICATION MASON COUNTY � � *. P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED r,1 6 Z / y 4 PERMIT NO. OWNER NAME MAIL ADDRESS ! CITY 8 STATE ZIP PHONE YE&L �1 c DIRECTIONS TO JOB SITE 31/4 e L 4 IZS" v L qA e 6% LEGAL I JVOA-t f./ � � ' 4&�5 40 Ig (❑ SEE ATTACHED SHEET)R,0,5L01.f (�C,_ DESCR. E�,c A Q,j' . . � -r,6 J, 6 r- L.c)7" 2- O/Z : 4Fc fr'Qr� 7 l -row � CONTRACTOR NAME MAL ADDRESS CITY&STATE LICENSE NO. PHONE Gi F° USE OF BUILDING Class of work: FrNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: /w CP Valuation of work: $ -C-7 PLAN CHECK FEE PERMIT FEE p rl SPECIAL CONDITIONS: BEDROOMS {DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES / BASEMENT El ATTACHED AIR CONDITIONING. TOTAL SQ. FT.A�0 FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANY TIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I the aware of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENTS SHORELINES SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ gy Special Approvals IN OUT YES APPROVED NO Lic. _ Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for BUILDING DEPT. which this permit is issued and that all work done will ROAD ACCESS be in co ormance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS QWCK BY APPROVED F SUANCE Owner Date -_ BY ? PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH S� MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT OF GENERAL SERVICES P, OAOX 186 SHELTON, WASHINGTON 98584 PHONE 206 - 4 26-5 93 DATE ISSUED 3 LEGAL DESC_ SEC._ TWN. PERMIT NO. _- NO., RANGE WEST, W.M. OWNER ADDRESS BLS PLAT DIV._ LOT �� -- ��1�r�-� CONTRACTOR t `iQ" y� _ADDRESS \2 DIRECTIONS TO SITE: (.lJ THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS MASON COUNTY AND THE STATE OF WASHINGTON. OF NO SIGNATURE OF APPLICANT 1 Forced-air or gravity-type furnace or burner, incluIC ding ducts aB SventsE �110.00, attached to such appliance up to and includin 100,000 Btu/h la Appliance over 100,000 Btu/h includin ducts and vents attached 6.00 2 Floor furnace, includin vent 7.50 ✓ 3 Suspended heater, recessed wall heater or floor-mounted unit heater 6.00 4 Appliance vent installed and not included in an a liance 6.00 5 Repair or alteration of, or addition to each. heating appliance, refrigeration 3.00 unit, cooling unit, absorption unit, or each heating, cooling,evaporation cooling system, including installation of controls regulatednbyor this code 6 Boiler or compressor to and including three horsepower, or each absorption 6.00 system to and including 100,000 Btu/h 6a Over three horsepower to and including 15 horsepower , or 6.00 system over 100,000 Btu/h and inclu!Ting 500,000 Btu/h each absorption 6b Over 15 horsepower to and including 30 horsepower, or each absorption system 11.0 over 500,000 Btu/h to and includin 1,000,000 Btu/h 6c Over 30 horsepower to and including 50 horsepower, or for each absorption system over 1,000,000 Btu/h to and including 1,750,000 Btu/h 6d Boiler or refrigeration compressor over 50 horsepower, or each 22.50 system over 1,750,000 Btu/h absorption 7 Air-handling unit to and including 10,000 cubic feet per minute, including 37.50 ducts attached thereto 7a Air-handling unit over 10,000 cfm 4.50 8 Evaporative cooler other than portable type 7.50 9 Ventilation fan connected to a sin le duct 4.50 10 Ventilation system which is not a portion of any heating or airng 3.00 b system' authorized y a ermit -conditioni 11 Hood which is served b mec4.50 hanical exhaust, includin the ducts for such hood 4.50 12 Domestic-type incinerator 13 Commercial or industrial-type incinerator 7.50 14 For each .appliance or piece of equipment regulated by this code but not classed 30,00 in other appliance categories. or for which no other fee is listed in this code 4.50 15 For each gas-n ping system of one to four outlets 15a Vol.- each gas-pipin system of more than four outlets 2.00 per outlet .50 SPECIAL CONDITIONS : TOTAL /. 'PPROVED BY DATE PEMIT VALIDATION CK- MO, CASH MASON COUNTY PLANNING DEPARTMENT P.O. BOX 186 Shelton,Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT—Complete ALL items. Mark boxes where applicable. Name Mailing address—Number,street,city,and State Zip code Tel.No. 1. Owner 2. Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Signature of applicant Address Application date LEGAL DESCRIPTION Location Of Building NO. PLUMBING FIXTURES FEE WATER CLOSETS 2 C? ,�_ BASINS BATH TUBS SHOWERS c� WATER HEATERS AUTO.WASHERS SINKS I FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL c �- -- Z7 (Show Street Names & Property Lines) PERMIT INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved by� i;I� Permit fee Date pemit issued Permit number Receipt No. --- $ � i- PLOT PLAN ADDRESS PERMIT NO. = o o n a LEGAL DESCRIPTION LOT BLK ADDITION u SITE AREA __ Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION P"1D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' C3 I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE 6HELTON PRINTING ~ 9 t : YY � �~ tj s _ — T � _. �.w lbo LO rl li t ' y / '•, 3 f 1 s r 1. f t ; 3 1I _. } t' - t -z i . G i • r 3 s t r ----------- IT I Permit No. 0122�Type Residence No. Floors 1 Square Footage 1680 Owner ByE�,y NPl won P PhonS-2195 Date 2-21-84 Address p 0 LBox 431 Belfair Iiash._Zip 98528 Contractor 4P1 f .Phone Address Zip Plan Check Approved by Shoreline by Type Applicant's plot plan approved as to setback requirements, by Legal Description: NW-114 Lot 2 31-23-1 Direction to project site: 4110 mile Larson Lake Road Fee Paid: Plan Check-Permit x Plumbing x Mechanical _Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Main Floor Second Story Inspections: ro 'a m o o > a > a O n o a 0- VI c- 2 } Q m Q 0 [D II Foundation: -� Compacted Fill Fireplace footing Forms Anchor Anchor bolts r— _ Foundation wall & rebar a/ Pier spacing 7 Basement wall & rebar Vents & crawl space Retaining wall & rebar ___ Soil-wood clearance III Framing: Floor Blocking Girders & posts _ Bridging Joist size & grade y Sub floor type r Span .�- Grade & Nailing / Walls Material Grade Bracing ✓�- Exterior Siding :�✓_ Ceiling height ,�� Nailing / Roof _ Approved trusses Hurricane Clips f� Rafters Purlings Cathedral Valley rafters Beams Sheathing ✓ Span ✓ Flashing Blocking Weather application Nailing Fire-stops Walls & ceilings Shower walls Furnace ducts Dropped ceilings Main electrical box Roof Holes plugged Firred-out walls Others Stairs Riser & Tread _ _ Headroom Width Stair Jacks Landings _ Handrails _ _ Inspections: > > a o a) o > a > Ca O fl O c d tl°i 0. v�°i +(D CL o m o Q o m Q Fireplace _ Construction No. of flues Flashing For: Soffits _ Exposed Soffit Vents Closed Ridge Vent Cathedral Windows & Doors Impact protection Header Span Openings Y— Insulation Sill Height J` Caulking - Attic _ Ventilation "- Access ✓� IV Plumbing Roof Vents & Jacks ,✓' Pipe Runs v Traps Bathroom Facil. Clean outs ��--y� fS/jr1� S'Handicap Fac i I. Hot Water Pressure Valve Mechanical Fans-Kitchen & Bath ./ Cl. Dryer Vent Furnace & Ducts Stove vent Insulation_ Walls ✓ Floors Ceiling Exterior Doors V Interior Cover r/ Finished Floors � - Finished Walls Type Type -�� Nailing Decks, Balconies & Lofts Guardrails Structural Sup. Fire Protection Doors _ Smoke Detector Firewalls & Ceiling Wood Stove Final & Occupancy Approved. Date �� By: REMARKS: I IV V