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HomeMy WebLinkAboutBLD92-00403 SFR - BLD Application - 5/2/1992 BUILDING PERMIT APPLICATION Z-b+W MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O.BOX 186 SHELTON,WASHINGTON 98SU 427-9670 DATE ISSUED I / 6 V& PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE db Z S DIRECTIONS 1 TO JOB SITE N (� C"j �� d (- J " PARCEL LEGAL //�� q NUMBER 3Z Q 75-(�I£L' DESCR. Lars A a NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NM CONTRACTOR N&R CO %Tale l r USE OF BUILDING �5 CLASS OF W ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE E WORK & 1 0 I L l7 W S AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE L93ZSgFt STORIES Z- SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS _ PRIMARY RESk THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS SgFt BATHROOMS { SEASONAL RES.❑ 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. CARPORT- 49- SgFt FIREPLACE IS CARPORT/GARAGE GARAGE_419' SgFt ATTACHED❑DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUIL ING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER DATE Z _ ��- X-14 DATE 2-'-I2 FOR OFFICE U E ONLY DEPARTMENT YES PPRQVENo DEPARTMENT YES No BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. I I BUILDING I PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION �, JT SHORELINE WOODSTOVE PLUMBING MECHANICAL i STATE BUILDING FEE APPLICATION ACCEPTED BY PLANS CHECK SY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL BY CASH CK MO KASON COUNTY BUILDING PERMIT APPLICATION PLEASE PRINT #1 Owner N► .. Phone2_7=Q„�2 , Si to Address—_„E /=:9...,., t_8h. Ci M—SA 1 cA,,...�_._._St�zip?'Rrb S' Y Owner Address;,i. s. /a hk Ci tYSbc�� _St&&Zip 9 gs� Lien/Title Holder ,Ai+tE Address City St._.,_Zip— Describe Work �c-�w�srec�cT�e��_ - C uJ,w,,,,, )0sA-7 #2 Contractor Xame,'-VALE LW rt-[- Contractor Reg# Address ration date / City St zlp Phone yO(I - q 7 in r #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well #4 Parcel No. O - 04 L 7R -A 6C- -�S J. Legal Description t k 121 r5F 5u /.r'V el-7 `l #5 Building Square Footage: (exlstd=71proposed) 1st FZ AM/'7I6 2nd FZ gft l4/6 3rd F2 �. Loft / .Basement _ / Deck ___ Z_4;= Garage / Catport ,1 #bedrooms / 4(Z,i# #bathrooats ZLQ 3 Other sq f t / #6 Use of building #7 rae of sjQ, : Vew_,A_ Add 'Al t Repair_ Demolition Plumbing Only,,,,, Mechanical acay�, Woodstove Re-Roof Bulkhead_ Other #8 P, na Fixtures McChaai cal,,Fixtures No Toilets No. Fuel Types No. Air Uarmdling Units Bathtubs Furn < 1008 BTU <• 10000 cfm. Showers Furs >= 100K BTU _„_> 10000 cfm. Bath basins Furs - Floor Other Sinks —Heat Pumps _,-,-Evsp Cool ers Dishwasher —Vent Systems ,Hoods )Ho t Wa ter Htr Vent Fans —Domes. mein. Laundry Washer Boilers/Compressors Comml. Incin. I Floor Drains 0-3 HP Reloc/Repair _Other 3-15 HP Gas Outlets 15-3 0 HP _.,,,Woods tone 30-50 -HP Other 50 + HP G a d aT tt.l c�(( l/en�o r`s #9 MOBILE9= 'Q$►j�� Model Year.. Make Model Length_ Width - Serial No. #Bedrooms. #Bathrooms #10 Any water on or adjacent to property: sal twa ter. lake river pond_ wetland seasonal runoff other. NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHT49 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT i AN EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AN A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAY RCY 18.27 , AND AN AWARE IN THE STATE OF WISHINGTON AND I AN NAME OF THE OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SMALL BE MADE COMFORNANCE THEREWITN. NO CNANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM TIE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER A& Z BY DATE DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 FOR OFFICrar. IISR ONLY: `-Accepted by: Date: DEPAR�'1VIENTA�., 1tEV7EW FOR OFFICE USS (mmy Approved CwW Hold Approval Planning Irwr+■r.-■1. Irrr r rl. Irrrr�� .■�I■.� I■�■rarir Irr�.. elrr.l�.11l.r-rr■����i■�.rr1 urrrl I ■ I -■uar .11. r ■1■. r.rri-r+�rr�.-Irrr� .rr.Iwl■-lo....r■rr�..�.■I.I.ri irrli�Iri- r r. �■.�.■I�.rr.1 �.1■I-.r lnvixonmental 8eallth: .■ �rrarrlr ■ ■ II■r.Yi�■.Yr1Y■■I�.� I rrr��r� . rllra 1 ■ �.■■��. ... �� Building Plan Aev►iea: �-.�■r1..lIIlA1-I■..�I�.�L..�rr ��� r .. �r..�l I ��Il.l.r I 1 ■rrrl■..r.11.r�lr■ r - �� I I Fire Marshall: ,.rr. i Other: I MASON COUNTY :. DEPARTMENT of GENERAL SERVICES Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (206)427-%70 BUILDING PARKS&RECREATION FAIR/CONVENTION CENTER ADMINISTRATION April 2, 1993 Jody Lund 221 S. 12th Shelton, WA 98584 � RE Building Permit Dear Jody Lund Your building permit was put on HOLD by the Environmental Health Department over four months ago. Our department's policy is to hold the permit for a four month period before the permit will be filed in legal pending resubmission from the applicant. Please indicate your intentions, and mail this form back to our department. I will be in within the next two weeks to take action on my permit. I wish to cancel my permit. If our department does not hear from you within two weeks of the date of this letter, it will be assumed that you wish to cancel your building permit. If you have any questions regarding the above information, please feel free to contact our department at 427-9670 or 1-800-562-5628. Sincerely, Mark Tompkins Environmental Health Specialist MASON COUNTY DEPARTMENT of HEALTH SERVICES Mason County Bldg.111 426 w.Cedar P.O.Box 186 Shelton,Washington 98584 (206)427-9670- Beltair.275-4467 Seattle:464-6968 -Other: 1-800-562-5628 environmental health personal health water quality MEMORANDUM DATE: G f,5 TO:To�� FROM: f laA RE: ,,; �� �e�M;� PARCEL # 3a{ 30 --7 5- o o t a'o Your building permit Onot be processed, by Environmental Health until the following items are completed and turned in. Application for determination of Water Adequacy. (Approved sewage system it a d desi�r,. 0 If existing septic system then complete set of septic records including as- built. ❑ Complete and accurate plot plan. PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDARIP.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS CITY a STATE ZIP PHONE L 1 jb Z S w . 8 4 2- - 1 DIRECTIONS TO JOB SITE TOP ff ILL rj LEGAL DESCR. P -_43 1 30 -75- 0 01 $D Lurs A 8 c of 7 15- CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE JVANR La 2-1 JAMA�714r,_1 18's-46 I . USE OF kCS I �E_0T1 A L- BUILDIDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00. BASINS FLOOR I SUSPENDED FURNACE 6.00 BATH TUBS Z- BOILER/COMPRESSOR 6.00 SHOWERS 'L REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER Z.r AIR HANDLING UNITS 7.50 SINKS HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS Z FIRE SUPPRESSION 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISH WASHER DISPOSAL URINALS PERMIT BASIC FEE , 3.00 PERMIT BASIC FEE 10.00 TOTAL TOTAL SPECIAL CONDITIONS: 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. OWNERS AFFIDAVIT:1 CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RIM 18.27,AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST?qAININ9 APPROVAL DVM TH BUILDING DEPARTMENT. p WITHOUT FIRSWOOVAL FROM THE BUILDING DEPARTMENT. XOWNER DATE �- 1 Z- XBY DATE FOR OFFICE US ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION BY CASH CK MO • � • e NAME M .i- - • • aAlS. fY/ �• ! ► op. raw" mi �• • _ • • • _ •c • - ! it • er_ f • ga MEN da;srmmommommommomm i■mummm om Site, Plot Plan, Bldg., Sewage, Water,and Shoreline Planning are reviewed by one or all of the Permit Center Units for compliance with code requirements which cover the following items : • Setback= related to proper tyOnes, easements, rood rights-of-„ray, parking, levees,dikes and bulkheads. • SWIdinq separation. • A review of substandard lots. • Percent of lot coverage. • Shoreline.P CANNING • Parking. • Property accesess. • Addressing • IE.P.A. H E P • Setbacks from property lines, well,water lines, surface water, buildings and banks. q • Eneroachn+ent Of sewage system by building,paving,etc. . � � . Eseessive slope. . • "lability of public sewer. T • Sewage system installation in fill. H • Sewage system adequacy, proper size,proper performance. • Properly certified well. 0 C • Z+Pa'ation behrean buildings and betneen bwWings and Property Mee Is deternaae fkt protection rega;rments. B U L I�� is so• a 6r awl orientation of buildings for solar Osarnptions •rgy code. • Man review. • Auiwir I inspection. 213srComposition Shingles IS*Felt Underlay 24" Shakes 1/2" COX P. 1. 32/ 16 /a ,` / 30* Felt Interweave Engineered Trusses 24" O.C. // ��i IXG Skip Sheathing 10" O.C. . 2 I ,f 2X10 K F T2 2a* O.C. 4; Slope r. Vented Blocking 2X8 M.F.st2 24" Q C_ ' R.38 Insutdtion 4 X 10 Headers 06 F. 1 106 Min. ar"Orwah1: +rorto) T' Malts,Etc. +r, M 2 X 10 IB" O.C.(M.F.e2) 303 Plywood Siding IS Felt 2X4 Pressure Treated Plot Rise 2 X 6 Studs 24" O.C. w/1/2 A. Botts 6' O.C. Type R•19 Insulation 2Xt0 t6 O.C. 1/2" Gw9 •19 Insulation rll��rls, GARAGE 6" Finish It SIP �• la"Mir. 6 wall 4 b&l. 1R 8..,� .a " 12 Grade a"f �.,.M 4 Rebar ''•• . 18" O.C. Mort.8 Vert. I11 #4 Rebar 4" 2ea. in Foodng�s `'�" = ?: 'N s + s' s �4 + + 6• of Z N /4► s .=PICAL /GROSS SECTION Seale 1/2"s 1►O" 2' Above my Cant. w/In 16 6" . [ --'—Root kct. Call. 16 aiding ..�,._...........,...__....._. d_o" Fin. FI. .ode FF= TYPICAL ELEVATION m U Ono � _ oLU • ' J . mi •+ter• � •- ° -� P m It ti. y = JOD !t O C V C _ Fa _ aZ r A V O a N as C ; OIM .�.. •�� Q • c a -•� CDCD L 1. f-• I- zCL OZ us0- � ` } = m N L 1 Z0� a a m .ca < uj CL Y o CF)co r •Z � ai w� de wtiw •.... W •ac � 02 US 3t ¢qp< G m J .- =%U°! ' K ` , a. Q ' cc o.- � Q� w C 4j o a.W G _ Z _ wJ oz L r .04 r i Ow 3 N Q m O = VJ f • 301S 3Sa3n3a NO • NOIIVVVao4Nl IVN0111oG,V . 7