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HomeMy WebLinkAboutBLD94-00731 Cancelled Library - BLD Permit / Conditions - 9/4/1996 St WL YILI 00 A - ` - - Sn N :Q s a W 77 � a s I. �— � f CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date lam C" date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by 03 V 0) cn .A w N (n m X O-Z C)n U n m t i X X 3> X H 3>X O 3>=-0 X 0 3 X H-3> -J)O 3> -0 C O m o m O C 3 m r z(n rn m z 3>C t _0 c m 0 I-° I--1-^• _0 9) -n z - H. -0 z d m ❑) .0 r (D 0 H-0 0<x € -O U) E F-' O rt -0 �o o o H•tf? 3>0 w m Z C C -O m Z 3> m(.n Z rt H 0 0 m 7 m 7 L1 m ;7--i -0- un LO H n m cO w;O r- C € o C N a Z 0 °• •• •• _ H•T7 �I -0 '< m X 0 n W-0-1 m 3>3> 1 < Cr(A �--o Cr < D rt 3 C -s U) m z --i m m 3 0-O Z 0) m"O 1--0 CT O m +->S 07 'D H. m n o rt C-S 3 co hi 0 n rn H'0 �y H• m m Z m Z a D r 0 :z-i < 3o rt m-1 o zCg:�D n 0 0_0 Q 30 -{H m m Q.0 z S) z H H---i r 0---i O & < m(D _0 3>l0 -S 0 0- m —i c u)m o m<O is H H• m #--•Z m D m z c n C")n Z rn z� r-•o o a m(n z :ci a 0 z 0 C � -s 0 rn III--' sv m � z < 7 m O II u �G H•F-'� H �m.o m l0 ; 0 "O 9r rt to 3 V z X o zmcmz�o rt rt 0) H rt3 H. 3>w a c0 3 o t00 z mm H O C K m m (D m 0) (D(D rt I (n z n 0) 7 N< � 70- X33 dam (1C Q m n = u H m (n 3 m 3 m cr C (n N ( 0 = m cn o <a c n a3 cn m Z 3 H.-O U m _0 3 0 ow ::I mm cn (D 3> =mH i I--s3 o H o £ C Z5 s z 0-4 m cn m v z i �D 3> 3-i nH•rtC gym= O rtrt0 m HK C z m O 0 t-`H•H• 3 X03>cn0 3C'(n T 07 C Q H H• m 3> -q-�;u 3 H•m Z H•fL cao CH•4) OL m no m (n vm 97 _ 0- H m rt Ct H -c • --i Z-{m 3>rU j ❑) 1-0 C = C r < nH•� o =rnIIC (D C: 3-h t� H t--I -0 n C �7 i7 r I _0 C C Z 00 - 0- z m 70 -0 m 3> O rn II 0) C o m -i�O (D G)r- H.a a3 4-• m ( 3>-i o X(f)H -S C-t Ct a 0- s 0 o (D C fL X Hrnm COZ rt N)-o Z Q-:� n r-O X m c) 0 o rt H w n n U� U) m cn n o cn I m -+�D o j,v -� U) 0O rtC H rn Ho3> n C mH• (n o x o c-D rt 0 -4 z 3 0 o rt 44 U m M O Q C m X --0-3 O -0 _0 CD w(n (D rt° Z . m O 0 0) 3> a r m 73 m S H• m X n 0 Z 0 rt r -0 3>m X 0- -0 • (-to Q3 O U) i � 0 Z r 003--j0< Z 0 m C QH O M C 3 (D U)r rn z H co I-mD- 1 0 rt X /� O rt II (f) 4) � r --i m 0-i C m o (n < l J rt 0 3>--it 0 H m n Z"O 37 H• m H• J m 3> Z o P.M n 3>w-0 Z 0-4 m'0 rt (P OD O rt U) C C Z 0 3> O�70 G') H rt-S-0 m O o rt r II t- H O O -s U)-S Cf) ct ( 77 rtn.o m(Do�zz 30 --fl C m �- 3 3 m H•oC0 n mm70= m 0< 0 70 m oCwO o (n mow 3C0) 7 zo (D 7 c D D H•3 C (n-i c m �< 7 r 03 -1- Q_ O m H x rt H.-O m =O'-0 n(P H• C 3 O (-tom cn om ;Dm— m CQ H. i(` o n H m LC H• z C 3 (n 0- � C _ C C ( -0 cLt (7 II H CD r;7_0 3> 3 H. 0 -C O- Q o m c m -4 r-f0Z m 3zrt cnN r c m H-c cq z 3 O H• ca rt N - rt coC6 C Z° ��O -s 3 _ 3 rt O n -0 Z C) - H• C Ui 0) � C H 3> H• xH 3H Cn C F,CT 0-C+ C C i U) 0 rt f-t m m 3>o m 0 m m 3 o C 3 O CD 0 OZ n 0 _0 O /1 0- z N m mm7Do -1 m 3p C rt H• 3 Z3>H 0 07 3 C 3> (13 O rt C O m - Q ,II n 3 Z n Z H•-S:1 0 O Q C? i C w O C-<0--1 0—rt U) H' 01 rt E C I U) t0 H C O cn C m m o o i z 1 rt 70r(nz N ca 0-U) OD rnOH-imw H•° • m rt E �o H�-<m C3 U) 3 SL c Z m C-t H• 0'' (n m G) 3> H• H H US c C' U) H Cor r C 0-C H H• --{n z z 3>r iII m 0) r C H o 0 Q O zC_0 rz Cn _0 00.0 H. H rt G7 m m Or-H m 30_(n rt Z 0 n H-C--I 0)H.-O 0) G') :5 Z�z m -i,ZC-tm 3 HHm<cn 0EOH•0 t--° co r 0 H 7 m 0 rt m rt r z O 3 -3 aC H. 0) co H C (D O rt M• II 0 n.a) 3 m rn r—i :5 0) M 0 a 3> 7 N w m x U O oH• H � � zm m r.:j mm3>m (D H-0 z f1 s M r 3 t-• 3 3>3>3> :5 9) M-a x 'n 0 —#m;o co (n M. Ha: z 3} r 3> Z Ln.. r) S m rt co �o 9 rf3 10 -t 3>S Jf'� -0 O 3 OCr O r r m H©—1 3> v Z(7)m rt EOM m m z Z \ -n 3HZ Oi m n m 3-{ ffl cn L m C KD m 0 n CO H < O Q C C r MH Mrm co O Dcn moH 0 ZHZ x- n �z0 m _, G)H n 0 H1737 ol Mm--� Z CIO 0 m O �- cCzC13 CiCD • 3> Cr 0 Q O r S n3 H�f7 3> flt :3 Q �= 0 z X m S rev mmm 0 CD :r a -n M Oz m co 0 n �. :3 cu 35 .0 Q M{ pp z :3 UI 3 OOD H H A � H Z 3> O r 0- u) :5 S O C m rt r�7 O O z rt � S r !� H z [MEMNOWN [O MASON COUNTY Permit No. M 1 8 04 BUILDING PERMIT APPLICATION �' AY 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 'Qn PLEASE PRINT Y EA P Gt 1.cL f rcm 1 #1 w er a/M.41 0'4-y�-�- C1,13 • Phone#$gym kzX 1'y�c�.� r ��-1` 55u(2. dress N J S a S � �^ Fire District# City M%w aA-11. W,./ `1 g S-s ASpt L-'1 A zip +'SS_ S Directions to Job Site -TO-A., ,i ttL {{G.irv.t� H-a••,,-• " Teufw, KA Su'�C +�1. Tt l u� Vb ,c ,AAA, Hatt . Owner Mailing Address 15d.vv%R City St Zip Lien/Title Holder --f9- Address Clty -- St Zip #2 Contractor Name nv�-� Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System ru, � � W&tt r (If residential, proof of potable water is required) #4 Parcel No.3aq-- -=1- 0000 0 Legal Description —01 v 3 /V #5 Building Square Footage: (existing/proposed) 1st A 2nd FI / 3rd FI_4 1 Loft_ / � Basemen t / Deck / #bedrooms/ #bathrooms / Garage/ Carport/ (Circle:Attached or Detached?) Other sq. ft. / #6 Use of buildings t9..., i7�n AVA, 1'!na'1 r✓N ��ui. Describe work #7 Type of Job: New Add Alt Repair Other 1 � 1"U�G.9 #8 MOBILE/MANUFACTURED HOME INFORMATION �(la WV T n �, � J Model Year Make Model Length Width Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Price$ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: CRiver 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 VV -- Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW J r s , y1 _ ..r } .t F APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. ILL 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. Fire Protection Systems _Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ NQ 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 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ 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 OF THE 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 OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER 1 X BY /DATE � GI L' DATE r FC?R,OF USE ONLY:Acceptetl by: Date: T DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: T)5 S Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check L4 5V. Plumbing Fee i Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee �- -5-0 Other Other Building Valuation: S TOTAL FEE 7 April 5, 1994 TO: l Please submit a bid for the complete construction of the building depicted on the enclosed Drawing No. A-1, including all details and specifications as indicated. Note the following points as they pertain to bid format: 1. Bid shall indicate contractor's recommended manufacturer for all windows, which are specified by size and type only. 2. Bid shall include allowance for custom wood door as drawn, and for door hardware to be specified at later date. 3. Bid shall note any exceptions taken by bidder to drawings and/or specifications, and shall note any items at variance with local building codes. 4. Bidder may visit the project site prior to submitting bid in order to clarify any questions. Please contact the undersigned to schedule visit. 5. Fireplace and stone chimney work are to be bid separately as an alternate add to base bid. If fireplace alternate is not selected by owner, it will be replaced by a freestanding 'Franklin' stove, furnished by owner and installed by general contractor. Include this in base bid. 6. Bid shall include tongue and groove sub-floor on sleepers as in alternate add to base bid, as noted in Section No. 8. If this alternate is not selected by owner, it will be replaced by finished concrete slab floor. Include this in base bid. 7. Although not noted on drawings and specifications, owner desires a dehumidification unit within the building. Bid should include contractor's recommendation on manufacturer and a cost allowance for the unit. 8. File cabinets shown on drawings will be provided by owner, installed by contractor. Please submit your bid to me no later than April 30, and call me with any questions you may have in the meantime. Sincerely, The Hama Hama Company Helena R. James P.O. Box 37 Ulliwaup, WA 98555 (206) 877 - 5542 94040402.P WMORRESPOM APPLICANT NAME: I��fYJ� 422 DATE: BUILDING PERMIT CHECKLIST RESOURCE LANDS & CRITICAL AREAS CHECKLIST. �L� All projects must complete the Resource Lands and Critiic l Ves Che list before a building or land modification permit is issued, or before final a proval of a septic system. [k' 1. SITE ADDRESS If site address is not listed, customer needs to be given a site address form. 19/ DIRECTIONS TO JOB SITE Needs to be as complete as possible (i.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.?) . LIEN/TITLE HOLDER Who holds the mortgage (Bank or name of private owner holding contract)? 2. 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. ❑ 3. SEPTIC RECORDS —peptic records should be included. BE SURE TO INFORM CUSTOMER OF $25 RECORD RESEARCH FEE FOR ENVIRONMENTAL HEALTH. If no records are available, make a notation C he form "No Records". If septic application is recent, mark "pending" in the er right hand corner. EXISTING SEPTIC Remind customer they need to have their tank pumped and determine whether their system meets code (sanitary survey or parcel review?) . They will probably need to show reserve for their septic. 4. PARCEL # Parcel # must be included or researched through Gateway. 5. 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 determine number) . 6. USE OF BUILDING Is it a residence, garage, greenhouse, etc. . .? DESCRIBE WORK (i.e. mobile home addition, addition to a house, etc. . . ) 7. TYPE OF JOB Verify appropriate boxes are marked. ❑ 8. MOBILE INFORMATION Verify a ropriate boxes are marked. If factory order, please put factory order # in mo 1 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." 9. 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". 1 10. SITE PLAN DRAWING Must have setbacks from all property lines, easement lines and structures. Drainfields septic tank location„outbuj_ldings, etc. . . 11. 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. 12. OWNER OR CONTRACTOR AFFIDAVIT Owner or contractor must sign affidavit statement and date it. 13. 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. 14. PRINTS Need two sets of prints unless it is a stock plan. For stock plans, we only require one copy. [ / 15. WATER ADEQUACY For new residences and mobiles. PRIVATE WELLS MUST HAVE WELL LOGS OR CAPACITY TEST AND BACTERIAL TEST. If they are on a public water system, verify the water system is in compliance with State requirements. 16. WSEC & V & IAQ CODE Required for all residential, additions and commercial buildings. Energy Code compliance form needs to be COMPLETED. Verify heat source (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. ❑ 17. PLUMBtXGAMCHANICAL This fq6o must be completed for any structure with plumbing and mechanical exclud'ng obiles/modulars. 18. FIRE DISTRICTS Please make sure the fire district is included in the application information. Refer to map located at counter. ❑ 19. ROAD ACC S PERMIT If you wil b accessing your driveway from a County road, contact the Public Works Department AMason County Building I, 427-9670 extension 450. Access from State Highways qulres Department of Transportation approval. Contact office (206)895- 4753 (P . t Orchard) . * ACCEPTED BY: ** DO NOT ACCEPT PE IT APP CATION WITHOUT PRINTS AND REQUIRED DETAILED INFORMATION (SETBACKS, ADDRESSES, PARCEL # AND WATER) . "checklst.blg" 10/05/93 checklst.blg 9/20/93 2 BUILDING PERMIT # 94 - O--3 DATE 5/-.S 1 Planner Area - ( AJ CHECKLIST FOR PROPOSED CONSTRUCTION Y No ] [ ] Within 200 FT of designated shoreline, wetland, or associated wetland Where? J 1 �Ivv— Proposed construction on/over/in wetland [ ] [ l Proposed construction within floodplain [ ] Eagle nest [ ] [ ] State road access needed [ l [ l Commercial Development (parking standards, sign ordinance, public works review, other applicable agencies) [ ] [ ] Mobile Home or RV Park [ J [ ] Exempt from building permit application [ l [ l Exempt from SEPA process (WAC 197-11-3051 WAC 197-11-800) [ ] [ ] Meets all requirements (which section(s) of SMP does proposed construction pertain to?) [ ] [ l Variance or Conditional Use Permit required [ l [ l Exempt from Shoreline Substantial Development Permit process (Wac 173-14-040) ( ] [ ] Exempt from Substantial Development, but within Army Corp. jurisdiction (WAC 173-14-115) ( ] [ ] Address needed [ ] [ ] Directions needed