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Home My WebLink AboutBLD2009-00925 Demo SFR and Replace - BLD Permit / Conditions - 10/20/2009 1, MASON rOUN Y PERMIT NO. . i C C ` L 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Amy and Dan Nordstrom Company Name West Bellevue Construction LLC Mailing Address 3621 90th Avenue NE Mailing Address 2535 85th Avenue NE City Yarrow Point State WA Zip Code 98004 City Bellevue State WA Zip Code 98004 Phone (425) 941-4223 Other Ph. Phone (206) 819-5330 Other Ph. Lien/Title Holder TWANOH TRUST Id-C. Contractor Reg. # WESTBBC951DU Exp.03-31-2011 E mail address dan@outdoorresearch.com E Mail Address Markwbconst8aol.com Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Yes Existing Septic Connect to Water System ves Name of Water System Well Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No 32233 50 00017 Fire Distric Legal Description SW 1/4.SE 1/4 SECTION 33.TOWNSHIP 22 NORTH. RANGE 3 WEST.W.M. Site Address (Please include street name,street number and city) 7323 E State Hwy 106, Union, WA 98592 Directions to site Proiect Site is on Hood Canal. aooroximately 2 miles.wQet of Union on Hiahwav 106 IM Will timber be cut and sold in parcel preparation?Yes/No Is property within 200'of Saltwater Yac Lake Nn River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Yes. south end of oronertv Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - Newyes Add Alt Repair Other PRIMARY RFSInFNCE ❑ SEASONAL Use of Building single family Describe Work construct new home No. of Bedrooms 3 No. of Bathroee 5 Square Foota e- 1st Pi^^r 2,133 end Floor. .281 3rd Floor, Basement. Decl overed Dec ��(lZOther. Sq. ft.. Garage Attached ched -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. OIMVER/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 fhe 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 fhe 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 r provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. Uy PROOF O OnON9r VWRIK IS BY MEANS OF A PROGRESS INSPECTION. X Date: /U ZO — O n06 e Owners a resentative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date 161201 ,09 t DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department ri E I 5 Planning Department 9 l t r . Environmental Health Department 0O9_ H Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing &Base Fee Plannina Review Fee Mechanical & Base fee Other Wood/Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES Mason County Planning Intake Checklist Owners me: nn - U o r Date: I o 0 9 Project • e, S Reviewed By: Proposed uses) of structure(s) IV2 CA.. Commercial Development: YES NO PLANNER: GBM TSW P eMftf--AH B V Plan: North Arrow ❑ Survey required in Allyn UGA — ❑ AF# ❑ Monuments Property Dimensions: 110 X c-4 LAD Streets and Driveways Shown. Road name: t5 VLP6*19 tructures shown with setbacks and use n u �ocaptic and Drain-field Shown with setbacks Ie water(streams, ponds, shoreline, wetlands, natural or historic drainage, defined drainage ditches) r,,Topography(slopes),=�,lopAe> 4ouxw-n(_4 .t_ LnOie _ Minimum Structure Setbacks (Direction/Setback);.— / F: 5 /1 5 R: � Si: � a S2: GI�J 1 O d Utility and Drainage Easements: Yes No (if yes enter condition #5022) Other Easements COrn of o n iA Accessory Appurtenances: P jPe / H mp --�}-h 0n s p(A r e� Does site plan show landings II ewts? ❑ Variance applied for: Yes / N - parking spaces allotted? �;) No o County Access Permit Need (add condition #0010) 1 State Access Permit Needed (add condition #0020) EXr4i Standard Conditions to be added to all Building permits that pl n ing reviews: #S019 and #0700 Site Access: Are there any impediments (dogs/gates)that �my restrict access to your site? v � l0 J L rir..�r-i� AJ Is the site clearly marked? How? 5 Address 1 crtxcl c� 0 U EWA l ❑ Name Zoning: ❑ Other: Corrip. Plan: Rural Zonin UGA Zoning: Rural RR 2.5 5 10 20 ❑ RT/RTC 0 R-1 ❑ R-5 0 HC ❑ BI ❑ RAC ❑ RMF ❑ Unknown 0 R-1P ❑ R-10 ❑ LTA ❑ VC ❑ Allyn UGA ❑ RC 1 2 3 ❑ Agricultural 0 R-iR ❑ PD ❑ FR ❑ T ❑ Belfair UGA ❑ RI 0 In-holding ❑ R-2 ❑ PF ❑ MU ❑ MHP ❑ Shelton UGA ❑ RNR ❑ LTCFL 0 R-3 ❑ POS ❑ GC ❑ BP ❑ Tribal ❑ GC-CI Critical Areas: (streams, ponds, shoreline, wetlands, steep slopes) Shoreline Designation: ❑ N/A Urban 0 Rural ❑Conservancy 0 Natural 0 Unkown Water Body (type of water if unnamed): TT CC-n SEPA: Y No Unknown Flood Plain: YES/NO U ow Map# �tp zoo-amZS Aquifer Recharge: YES/NO U now Map# Tags/Cases: RLC(SPI Case: ho 6-Year Dev. Moratorium: Y Eagle Nest Tag: YE NO Other/North Bay Sewer YE NO Revised 01-13-2009 MASON COUNTY PERMIT NO.well �.��-`I - � L Ll�i f�J J BUILDING PERMIT APPLICATION t�-5 426 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 Amv and Dan Nordstrom Company Name West Bellevue Construction LLC Mailing Address 3621 90th Avenue NE Mailing Address 2535 85th Avenue NE City Yarrow Point State WA Zip Code 98004 City Bellevue State WA Zip Code 98004 Phone(425) 941-4223 Other Ph. Phone (206) 819-5330 Other Ph. Lien/Title Holder TwANoH -mue C .E Contractor Reg. # WESTBBC951DU Exp.03-31-2011 E mail address dan@outdoorresearch.com E Mail Address Markwbconst0aol.com Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Yes Existing Septic Connect to Water System ves Name of Water System Well Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No.32233 50 00017 Fire District Legal Description SW 1/4.SE 1/4 SECTION 33.TOWNSHIP 22 NORTH. RANGE 3 WEST W.M. Site Address (Please include street name, street number and city) 7323 E State Hwy 106, Union, WA 98592 Directions to site Proiect Site is on Hood Canal. aooroximately 2 miles w," of Union on Hiahwav 106 INK 5"r Will timber be cut and sold in parcel preparation?Yes/No Is property within 200'of Saltwater Yes Lake No River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs ] 15% Yes_ south end of nrooertv Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Yes Add—Alt—Repair Other PRIMAPV RFcInFNCE ❑ SEASONAL Use of Building single familv Describe Work construct new home No. of Bedrooms 3 No. of Bathroo 5 Square Foo�Decl� t Pl^^r 2,133 ?nd Floor. ,281 3rd Floor, Basement. Deck overE440—Other. Sq. ft.. Garage Attached efached _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. O VNER/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 r pr=Q4n,440 rants employyees of MasonCounty access to the above described property and structure for review and inspection. POhi P1RK IS BY MEANS OF A PROGRESS INSPECTION. XDate o ZO a resentative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: U Date 1 6 ZO O DEPARTMENTAL REVIEW APPROVED DENIED NOTES V� Building Department E I S Planning Department Environmental Health Department t 809- 6,9LL4 Public Works Department Fire Marshal FEES Buildinq Permit Fee Site Inspection Plan Review Fee EH Review Fee E C56 Plumbing & Base Fee Planninq Review Fee Mechanical & Base fee A Lt Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES An uy,- e MASON COUNTY DEPARTMENT OF'COMMUNITY DEVELOPMENT WSEC/VIAQ Compliance Application Owner: AM /V012,aS Telephone: Parcel#: � `f�Y41 3 Z2 3 3 SD Gov r Type of project (A New Residence ( )Addition ( ) Remode t - Total Sq. Ft. 18 Floor: 2" floor: Heated Basement: of heated area:: Heating System Type: O Electric wall heater O Electric Central Furnace LPG Furnace Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O Other: Specify Glazing Prescriptive Option see reverse side circle one: I II IV Percentage: Compliance Method O Component Performance , Chapter 5— Calculation worksheets required a/ Check one: O Systems analysis, Chapter 4 Fvents hole House Ventilation system O Whole House Ventilation using a Heat Ventilationaust fans&window or wall fresh air SystemAQ 303.4.1) Recovery Ventilation System (VIAQ 303.4.4) Check one ole 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: Windows: Total Sq. ft. Doors: Doors: Total Sq. Ft Total window and door area Total window&door area /(divided by) total sq.ft of heated area = %of glazing MASON COUNTYPERMIT NO.!f?%i, )J_;(:'Ji - C C`ICJ 40 L "'I 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Amy and Dan Nordstrom Company Name West Bellevue Construction LLC Mailing Address 3621 90th Avenue NE Mailing Address 2535 85th Avenue NE City Yarrow Point State WA Zip Code 98004 City Bellevue State WA Zip Code 98004 Phone (425) 941-4223 Other Ph. Phone (206) 819-5330 Other Ph. Lien/Title Holder TWANOH IRUST C LtC. Contractor Reg. # WESTBBC951DU Exp.03-31-2011 E mail address dan@outdoorresearch.com E Mail Address Markwbconstnaol.com Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New SepticYes Existing Septic Connect to Water System ves Name of Water System Well Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No 32233 50 00017 Fire District Legal Description SW 114.SE 1/4 SECTION 33.TOWNSHIP 22 NORTH. RANGE 3 WEST.W.M. Site Address (Please include street name, street number and city) 7323 E State Hwy 106, Union, WA 98592 Directions to site Proiect Site is on Hood Canal. aDDroximately 2 miles•w" of Union on Hiahwav 106 MA Sp I Will timber be cut and sold in parcel preparation?Yes/No Is property within 200'of Saltwater Yes Lake No River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Yes. south end of orooertv Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Yes Add—Alt—Repair Other PRIMA RV RF.InFNCE ❑ SEASONAL Use of Building single family Describe Work construct new home No. of Bedrooms 3 No. of Bathroo 5 Square Footage- 1st �I^^Y 2,133 ?nd Floor. ,281 3rd Floor. Basement. Dec overed Dec - 7EC20ther. Sq. ft.. Garage Attached a ached _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 fhe 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 fhe 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 fhe work proposed. The owner or agent on owners behalf,represents that the information r L vided is a rate and grants employees of Mason County access to the above described property and structure for review and inspection. 1n OOF O O ON K IS BY MEANS OF A PROGRESS INSPECTION. Date: Zy —20 —Oq O ne Owners a resentative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date 10120 DEPARTMENTAL REVIEW PROVED DENIED NOTES N Building Department _ -p E - &C 1 5 Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Buildina Permit Fee 4/ . /S Site Inspection Plan Review Fee /GD EH Review Fee Plumbing & Base Fee , a o 710 Planning Review Fee Mechanical & Base fee -,,=R8' Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal /(o Z)&. 9� Valuation$ 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 CONTRACTOR INFORMATION Owner /, ' 4 Company Name��-� _ " , ., C Mailing Address ` ` ` ~- Mailing Address City §tate Zip Code ' `, City L State Zip Code Phone �i' - Other Ph. Phone " ' Other Ph. Re ``'�Contractor `1 `'"'L /''�' Lien/Title Holder, � 9• # Exp. E mail address �' Y ' ' S -'' ' '` "' 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. ,2 2 '`' `'`' 7e Fire District r Legal Description Sca.s a jai. .;F� 1,s f f.�r"..,: ; - ,;s'; - t.. Site Address (Please include street name, street number and city) �+� �- ''<< '��` _- q +.. L :t. r • /:r^ "`-"S♦ Directions to site Is property within 200'of Saltwater `" Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 1'5% 'r6 TYPE OF JOB - New ,X Add Alt Repair Other Use of Building .L/ 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— LPG §` 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 Gas Outlets Kithen Sinks P Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebi s Dryer Other Vent f Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OVMVER/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 a�d grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF,00P TI I (QWORK IS BY MEANS OF A PROGRESS INSPECTION. >' Owner/;wners Repre ntative/Contractor (indicate which one) y FOR OFFICIAL USE BEYON THIS POINT Accepted by," 'i'''Planning Pd Ck# Date Bid Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Grour)—Type Constr. Planning Department Environmental Health Department FEES Plumbina & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES MASON CO�JNTY,, PERMIT NO. t d )WCI UU Cf,�15 OCR BUILDING PERMIT APPLICATIONS 5 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 Q . On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Amy and Dan Nordstrom Company Name West Bellevue Construction LLC Mailing Address 3621 90th Avenue NE Mailing Address 2535 85th Avenue NE City Yarrow Point State WA Zip Code 98004 City Bellevue State WA Zip Code 98004 Phone (425) 941-4223 Other Ph. Phone (206) 819-5330 Other Ph. Lien/Title Holder TWANOH TRUST (,t.c. Contractor Reg. # WESTBBC951DU Exp.03-31-2011 E mail address dan@outdoorresearch.com E Mail Address Markwbconst0aol.com Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic es Existing Septic Connect to Water System ves Name of Water System Well Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No.32233 50 00017 Fire Distric Legal Description SW 1/4.SE 1/4 SECTION 33.TOWNSHIP 22 NORTH. RANGE 3 WEST.W.M. Site Address (Please include street name, street number and city)7323 E State Hwy 106, Union, WA 98592 Directions to site Proiect Site is on Hood Canal. aooroximately 2 mile sawcr of Union on Hiahwav 106 Will timber be cut and sold in parcel preparation?Yes/No Is property within 200' of Saltwater Yac Lake Nn River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Yes_ south end of orooerty Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Yes Add Alt Repair Other PRIMAPV RF.qInFNCE ❑ SEASONAL Family Use of Building single Describe Work construct new home No. of Bedrooms 3 No. of Bathroo s 5 Square Footage 1st Girtrw 2,133 ?nd Floor.11 ,281 3rd Floor, Basement. Dec i overed Dec Other. Sq. ft.. Garage Attached a ached —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 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 r provided is acgirate and grants employees of Mason County access to the above described property and structure for review and inspection. N PROOF FO N ,;h4ofiONO VWRK IS BY MEANS OF A PROGRESS INSPECTION.r IF O X Date: ly —ZO — g (5 O ne Owners a resentative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date l 2" 40 DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department E I Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbina & 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 PERMIT NO�R009-Gr�9a5 ODMASON COUNTY LUMBING/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 C%N g hMY lwop-0 ST 0 K Company Name r a Lc.EVuE Caw sTRuG?o v Mailing Address 3fe21 cbTKAVENuE NE Mailing Address ZS-3s�ES- 70 AyENuc Mc City�wLt'9-tate WA�- Zip Code 49 021 City &L4-eVuE State -JA- Zip Code 4$O01` Phone 424 q41.42.2-3 Other Ph. Phone 2-061 8(If S 33 c-3 Other Ph. Lien/Title Holder Contractor Reg..#WL6r&bc4S/Dv Exp. E mail address 49010 cosy E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic X Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. -�5723P3 5Z> coo t Fire District La Legal Description SW Ll!± SE 1/q. S€�{?aN SS. TGWAJSf1i!p2Z NoP7HtRANQG 3 WEST W. A-L Site Address (Please include street name, street number and city) 7 71 E t dv UNION,w Z, Directions to site 1 719 OAJ KaoO t'Z ptPPRoy-P t- 2 m -E u N/ooi Is property within 200'of Saltwater S Lake River/Creek Pond Wetland Seasonal Runoff—Stream—Slopes or Bluffs > 15% YES,5aq►0w0 cF Z&8 gm TYPE OF JOB - New Add Alt Repair Other Use of Building rl''" � Location of Fixtures/Units - 1st Floor_4L 2nd FloorLG _ 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 2, Bath Tubs Heatpumps ! Showers Spot Vent Fan �— Water Heater Propane Tank I Clothes Washer Gas Outlets Z- Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood �— Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL O VNER/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 acc to an g nts employees of Mason County access to the above described property and structure for review and inspection. PROOF OF 1 ORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: l_ �� Ow r/ wners Representative/Contractor (indicate which one) 44401 FOR OFFICIALUSE BEYONP THIS POINT Accepted by Planning Pd Ck# Date101,10161 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 Ins ection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES THIS PARCEL INCLUDES PLANS, BLUEPRINTS O� R. - OVERSIZE IMAGES LARGE FORMAT IMAGES HAVE BEEN STORED IN FILE CABINETS) UNDER -- --- PAR CE L NU-M BER - - - PARCEL # - 50 - 000/� cnse u c Cu�t � e- 0�1a� MASON LINTY SIDENTIAi,PLARS SUBMITTAL CHECKLIST ' Owner's Name m Dater _ Reviewed By: Documents: tll'building permit application complete dU�� STORM WATER WORKSHEET CO FTF?[V/ 41anning intake checklist complete FRI C rr,,; lT1t, CiA_ E'Site plan includes allowable building area, roof rhands,decks, etc. f15 ❑ Fire apparatus access road info required: Yes Lo ❑ Energy code application .50 Electric wall heater O Electric central furnace O LPG Furnace (� �,t�,M N�'�" O HP w/elec.Fum. O HP w/LPG Earn. O Boiler(heat type) %"��;,"_� O Other: Specify Mechanical/plumbing application-WATER HEATER fuel type/location: t .ice Engineering Y To - Snow Load: 66 . Seismic: �.A Stock plan: PROVED Snow Load: Seismic: tinufa owes- FL R PLANS I t..n cA azu L..SfQ"--, F undati type: ❑ AN ani Me od ❑ E ' eered IF, ' g/fou ❑ se ent ceks- ❑ vered? ❑ Uncov ver 4 x 6 an "? - eonstru lans equired Construction Pl :7 COMPLETE SETS fans legible :1oof ecognized scale &Ilevation views [�ross section 19'l+oundation plan framing plan VoVloor plan-use of rooms noted(all floors) 9-floor framing-all floor levels Ly'Deck framing including covered porch framing Plan De ils: , WARoof framing details,truss layout may be needed(hip and girder location shown) S'}iGIL, 6►rU55 M � f YOV/all framing-does bearing wall height exceed 10' (engineering may be required). door framing: floor joists 1 l_T/6-rj= spacing? 11D OCR floor beams: "indow headers: typical header L4 X a Garage door header: 04oundation: footing size,reinforcement L)nu_s-,o_&LtAJ ou+- W- `Concrete walls-does concrete wall height exceed 8'? (engineering may be required) ndings at all exits? Less than 30"above derY N (ideated by furnace-location: Ar-h 0�5—m /(!A&UA,6PA 0 F' pl stove information shown-fuel type: _L% Location(s): 4m ow sizes marked on plans [raced wall panels(shear walls)marked on plans?,s��2./1 ✓1 o 0 :OMNFENTS: 1 Floor ron i c� 41 e� rn&tA_ Floor up p tj)- T-_l aye- LI rl :NGMEERING REQUIRED ❑ Braced wall panels/brace wall lines are not marked on plans (R602.10) ❑ Amount and location of bracing does not meet minimum required in Table R602.10.0 1ESIGN CRITERIA: All notes and details required as a resultof the engineered analysis shall be transferred onto proposed building plans. ,rind 85 MPH, Exposure B(unless proven otherwise). Seismic Zone: ,Snow_psf. ZREGULAR BUILDINGS R301.2.2.2.2 regular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be )nsidered to be irregular when one or more of the following conditions occur: ❑ 1)Exterior braced wall line or BWP cantilevered or offset by more than 4' ❑ 2) a.Roof/floor is not laterally supported on all edges b.Portion of roof/floor extend>than 6 ft.beyond the braced wall line. ❑ 3)End of BWP 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%o of the least floor or roof dimension. 0 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 includes masonry or concrete construction(fueplaces/chimneys/veneer)entire_story shall be designed in accordance with accepted engineering practice. x:V«mrt tech checklist—02-05-2008 i lZ • }oafad}ooIA puq dwo� 'paid woa}spaoN I � Z rn 0 z r) = m 3 = Z $ # � v J J ^. 1 W n n �i -- ,. d S w 3 -a h: uold 9US 'Z ainGil Y Y. 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