HomeMy WebLinkAboutBLD12410 SFR - BLD Application - 5/12/1982 ,.. BUILDING; PERMIT APPLICATION
MASON COUNTY.
P.O. Box 186 , ` Shelton, Washington 98584'
426-5593
DATE ISSUED
- , PERMIT NO.
• CITY B STATE ZIP .PHONE,; :.
AME , r.:,. MAIL ADD S '-.... 1� .. .... ... ..
OWNER . „...t .. � .. .Hnf.L
DIRECTIONS -. Sh C'
TO. JOB SITE -
(O SEEATTACHEDSHEET)
LEGAL i, � `'�
MAIL ADDRES CITY'&STATE LICENSE NO. PHONE
NAME. ,,,. � _ - '
CONTRACTOR
USE OF ^� I
70
BUILDING ' .
Class of work: X NEW . 0 ADDITION.,, ❑ ALTERATION ❑ REPAIR ❑-MOVE EI-REMOVE'._' .
Describe work: i.
1te i r
Valuation of work: $1 � '. �� � S.I.,,-,PLAN-CRECK FEE ,, /, PERMIT FEg a
is 39 _ s.--!!- ag-
SPECIAL CONDITIO " - --a !- � Q°i L CL' S; 647 a 60
BEDROOMS (DECKS OTICE -:�V d�i
BATHROOMS_ TOTAL SO. FTJ _Ad_ 'GARAGE�1- ,` - �. SEPARATE (PERMITS ARE. RE IRED FOR PLUMBING HEA ING, VEN ILATI
NO. OF STORIES.:. BASEM ENT TXl 'ATTACHED ❑� " OR AIR CONDITIONING '' _„' -':�—
'DETACHED ❑'�`'J -
TOTAL SO. FT./S'60 'FIREPLACE -THIS PERMIT BECOMES NULL AND VOID IF WORK O CONSTRUCTION AUTHOR
f.ao.CONTRACTOR AFFIDAVIT- ZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF( ONSTRUCTI,ONOR WORK IS
p ' SUSPENDED OR ABANDONED.FOR A PERIOD OFAE)DAy$ATpaYY�IfdF�AF�ER
WORK IS COMMENCED
I certify that I.am a Currentlyr registered contractor in
the State of Washington and I am aware of the.. F'O�` O c C I/�C @ ONLY
ordinance requirements regulating the work for which r f r CE S NL ,
the permit IS issued and all work done will be in PERMANENT.. . SHORELINES,
conformance therewith.
SEASONAL❑ FLOODPLAIN ❑ '
NO S.EPA El
Firm E.D ,
By..
Special Approvals IN OUT NES APPROVED NO
ZONING - M""
Lid. No. Date
LANNIHEALTH-DEPOWNERS AFFIDAVITWORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL-contractor registration law RCW 18,27, and am`aware gUILDING DEPT. j '_ 2' 3/
...of the Mason, County ordinance requirements .for ACCESS ,
'which this permit is issued and that all.work done will
'i be inCon for man therewlth.- MOTOR VEHICLE PERMIT
1 e '� �// APPLICATION AC EP ED QY ,PLANS, ECK SY APPROVED FOR ISSUANCE
Owner, at B/ B—tip
P RMIT VALIDATION CK. M O. CASH.
P CHECK VALIDATION M O. CASH -
PLOT PLAN
. 0 PERMIT NO.
ADDRESS J� D tW 6 _ = o
o (
LEGAL - .y
DESCRIPTION -" p LOTyf' BLK ADDITION u
SITE AREA 2/J 7s 14 SQ.Ft. AREA OF SITE OCCUPIED BY BUILDINGS)9p�.. _.S1.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.DI EN-
SIONS.SHOW EASEMENTS,.FINISH"CONTOURS OR,DRAINAGE,•FIRST FLOOR ELEVATION, STREET ELEVA-
TION AMDDSEWER^,SERVICE ELEVATION SHOW LOCATION OF WATER, SEWER, GAS AND ELECTR CAL -
- SERVICE LINES.SHOW LOCATION OF SURVEY PINS„SPECIFY THE,USE.OF EACH BUILDING AND MAJOR OR-
TIONTHEREOF. ..
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X ' OR 1-=20'
(
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IIWe certify that the pro construction will conform to the dim mi' and uses shown above and',that o changes will beIs without ;W
.' .first obtaining approval. ... - I
E S STRUCTURE(SI- (PRINT) RIZED REPRESENTATIVE
N AMElS10I OWN iR(SI OF SITE IONA TORE OF OWNERISI OR AU THO
DO NOT WRITE BELOW THIS LINE
AS NO EDD AD XJ y�I Z DATEpp
;
DISTRICT "'777
GMZLTON PRINTING. " " '
IF
" `,MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton,Washington 98584c
PLUMBING:PERMIT APPLICATION
' 'IMPORTANT.—Complete ALL items.Mark boxes where applicable;, `
Name - - Mailing address—Number,street,city,and State Zip c ce Tel.No.
Owner
2 L. .:
cc mractor
The owner of this building and the undersigned agree to'conform to all apblicable laws,of Mason county and State of Washington.
' :p • Application date
Signature of applicant - Atltlress ` : _
LEGAL DESCRIPTION '
Location
Of '
Of'° t
Building
.b
NO. ' ' PLUMBING FIXTURES, r FEE
WATER .'.c
WATERCLOSETS ` (o OO
�3..., BASINS d.�.00 -
/ ' BATHTUBS ,o7.00 -
iCJs SHOWERS: 4"DD
WATER HEATERS. [,�,,08 ' ..
/ .. AUTO WASHERS . a0(7
z.. SINKS - .`j',..d�
p FLOOR DRAINS
` Q DRINKING:FOUNTAINS
LAUNDRY TRAYS - a Q 0
Aya, Connect to City Sewer = • - I ,
/- DISHWASHER
/ DISPOSAL'
g'. URINAL:
3-o0
- II
"yShow Street Names & Pro party°Lines).
INDICATE VLOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT f� SKETCH"IN SEPTIC TANK 8 DRAI '.FIELD LOCATION OR,SUBMIT
v ON OTHER SKETCH'.. .-
„DO NOT. WRITE IN.THIS SPACE - FOR.OFFICE USE Fpl
Approved by i^ Permit fee Date pemit Issued Permllnumber .
- AE4 �•�9
, ,MASON COUNTY PLANNING DEPARTMENT
P.O.Box 188 ' Shelton;Washington 98S84
- - MECHANICAL PERMIT APPLICATION:
' AMPORTANT-Complete ALL items.Mark boxes:where applicable.
11. L LEGAL DESCRIPTION
Location
Of . NS NS
Building' Ew side o - r
f feet"E W from intersection of
l: Sact: ,. Twp, . . Range
-N0: '- 'DESCRIPTIONS .'FEE No. DESCRIPTIONS FEE
1. Forced air or gravity type furnace or burner including ducts / '14. For the,installation or relocation,of each ti iler or refrigeration
and vents,. up to .and including 100,000 Btu's-$4.00 •`f0 compressor over 50 horse power or each ab orption system over
.. -. 1,750,000 lltu'"2500.
2, : - -"Over 100,000 Btu's-$5.00 - ° '.. °
-15. For each air handling unit to.and includinj 10,000 cubic feet
n.3 installation or relocation of flog` � r furnace L and':vent, suspended , ' .. per minute, including ducts attached -there o.=$300
heater, or recessed wall heater--$4,00 L NOTE:'This fee shall not apply.to an air handling unit which `
4. Installation, relocation, or replacement of each appliance vent, is a portion of a°factory assemble 'appliance, cooling -
installed, not.included'.in appliance'pe'rmt_$2.00 on t, 'evaporative cooler.or absorption unit for which
a .permit is required,elsewhere in this Code.
-5. Repair, alteration. or -addition to each: heating appliance, `re
frigeration unit, cooling unit,absorption"unit, or evaporative - 16 Jor each' air handling unit ,over 10,000 cu is feet per minute
°cooling,system '.including installation of controls L regulated by -$5.00 ,
- this code-lu.00 -
.. - 17. For each evaporative cooler other= than. ortable type-$3.00
I
stallation or relocation of each'boiler or compressor to and
cluding 3 horse Dower-$4.00 . ]8. - For each 'ventilation fan connected to a,single duct-$2.00
ver3h 'orse power to and; including 15 horse>power-$7.50 - lg° for each ventilation system which Is not a rtion of any heating
•- or air conditioning system authorized by permit-$3.00
ver 15 fiorse power to and including 30 horse power-$10.0020 ' Forthe installation of each hood,which. is erved by mechanicalver 30. for
power,to-and including 50 horse power-$I5:00 ° :exhaust, including ducts for such hoods .00 _
10:" Installation or relocation of each absorption system to and including 100,000 Btu'"400 - 21. '-For the installation or relocat .ion of eaci domestic type` in
cinerator-$5.00 - ..
11. - Over 100,000 Btu's .to and including. 500,000 Btu's-$1.50
12. Over 500,000 Btu's to,and including 1,0001000 Btu's", Commercial or.•industrial type incinerator 20.00
FF�u appliance'or piece. of egmpmert regulated by this -
13. ° ` .Over 1,000,000 Btu's.to and including 1,750,0 OOBtd's not.classed.in otherapoliance ca agones, orfor which
�15.00 - fee,is listed, in this Code-$3.00 - -
' ... esie Fee $3.00 -
- FIELD INSPECTION - ,00
OTAL
Date By .'r" Remarks a: - T.. .
. _ -7 Oo
i Name -` Mailing adi,ess'-- Number, street. city and'State zip: ode Tel. No.
:Owner
z
contractorf.
-
The owner of [h,si bu Idmg and°the unoe,s,gnetl agree'to conform to all,applicable laws ofL MASDN.CDONTV
S,4.afure of applicant Address ` APPhcabon date
DO NOT WRITE IN;THIS SPACE _ FOR OFFICE USE
4ppioved by Permit fee:'. IrDate permit ssued - Pern,t number Receipt No.,
700 �a- ga la o
GNGLTON rPINTIN6 CO.
EXEMPTION FROM SHORELINE
MANACEMF.NT ACT SUBSTANTIAL
DEVELOPMENT PERMIT REQUIREMENT
TO: Stanley Mar. E 802 Colonel
The proposal by Stanle 2r to undertak
name of applicant
the following development construct residence
be specific)
upon the following property Tract 7 G.L. 1 NWw NEB Section 12
egal description; t,e„ section to the
Township 20 North' Ran e 2 West.
nearest quarter section
within Hammersley Inlet and/or its associate
name of water area
wetlands is exempt/not exempt from the requirement of a substantial
develonment permit because the development is for a single-family
dwelling.
WAC 173-14-040 (7)
(identify exemptions as outlined in WAC 173-14-040
Corps Public. Notice Number if available
The proposed development is consistent/inconsistent with:
CHECK ONE
CONSISTENT INCONSISTENT
X Policies of the Shoreline Management
Act.
The master. program.
May SinZILt e-eT-ay 11. 1982
Date P utbor i zed Local Govern-
Ma ment Official)
b _—___
a e o xplration
I Irmit No. "12410�Pe� ianra No. Floors Square Footage 1,560
O*Al&_I{3ar� S6arlekf R. one 4a DaYe 5/12"/82;
Contractor ne
°aelfPno
Address' ,` Zip
Plan Check Approved D. Fawver .M.Turner Type EX.
Appli6mit's plot plan -approved as to setback nequir—em ts,
Legal Description: 12-20-2, Tract 7 of G.L. 111, NW 1/4, NB 1/4
Direction to project s te: Hartstene Island, E 80 Colonel Wright
i".,..< "
Fee Plan Check Pe t�_P `R. r X
Wood Stove "replace Deck_XGarage arport
Bas�ent�_laft - Floor S Story
Inspections: IeZO Gr6� " {
06701
II Foundation:
CompactR-= Fireplace footing _
Forms G Anchor bolts _
Foundation wall & rebar Pier spacing _
Basement call A rebar Vents & crawl space
Retaining wall & rebar Soil-wood clearance
III Framing:
Floor Blocking
M ers & posts _
Joist size & grade Sub floor type
Sp L%I Grade &Nailing -
Walls
trial Grade . Fin
�} BCeil�ing height Nailing
Siding —
1
Roof
Wroved trusses 7 tiuxicane Clips _
Rafters Purlings
Cathedral —MAI Van rs
Span Hfl ::�:
—_
seams EX Flag —
Bai 1 -�( r
N application
{�Vs-
Fire-stops PATE
-ww"��oeilings
Shower walls Furnace ducts
Dropped ceilings Main electrical box
Roof Holes pluggedr
Firred-out walls Others
Stairs .!
Riser & Tread FHadroom ]
Width Stair Jacks
Iaidings Handrails J q
Inspections:
14
u u
Fireplace j
Construction No. of flues� ��I ILI
Soffits For:�b ( Siouc—1 ,� e�Az®
xl posed Soffit Vents �n
Cathedral
Ridge Vent q
Cathedral
Wimlows & Doors
Impact protection Header Span _
Openings Insulation
Sill thight Caulking
Attic
-Ve—ntilation Access —
IV Plunb 9
-T56F7ents & Jacks Pipe Rims �
Traps Bathroom Facil.
Clean outs llazidicap Facil.
�
Hot Water Pressure Valv —
MechanicalFans-ia —
t
Furnace & Ducts ® Cl.Stave vent
Vent
B 8 —
Insulation
MEN— Floors
Ceiling Exterior Doors e
V Interior Cover
Finished Floors p p Finished WallsType Type ❑ q —
Decks, Balconies & Lofts Nailing---------
Guardrails ❑ ❑ Structural Sup. Q ❑ . . .
Fire Protection
Doors Smoke Detector
Firewalls & Ceiling Wood Stove Ll 8 =
Final & occagaeny Approved. Date , By:
REMARKS:
� 2 /ZCQ}�OULC9 � / GCl(MR7 N�! -
I
III
r •�66 VOsn BYE E
DATE
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