HomeMy WebLinkAboutBLD16192 Final SFR - BLD Permit / Conditions - 4/8/1986 I permit No. 16192 Type Residence No. Floors 2 Square Footage 1637
Owner LILES, Jerry D. ft 426-1781 Date
_2$�
Address E -141 Deer Creek _Rd_ Zip
Contractor N;nP _Ii ArPd
Address Zip
Plat Check Approved by BEP Shoreline by WJB
APplicatt Is Plot Plan approved as osetback requirenoa►ts, by
Leal. Description: - - -
Direction to projectsite: 7 miles No. onfrom Etwy on
Deer reek Rd.
Fee Plan Uleek x t x x x Saw
. Wood Stove Fireplace x Deck Garage 56 ,arport
Basement loft �n F oor SecrStory
Inspections: *A - Approved; D -Disapproved; BY - By; DIIE -Date
*A D BY DM A D BY DIE
II FOUNDATION:
ConQeicta = Fireplace footing —
Forms �r bolts
Foundation wall & rebar�— _ Pier spacing _
Basement wall & rebar _ _ _ Vents'& crawl space T
Retaining wall & rebar — — — Soil-good clearance ✓�
III FRAMING:
Floor Blocking _
hers & posts Bridging _
Joists size & grade _ floor type /— —
Span — — Grade & NaUJM
Walls _
Wterial Grade ✓
Bracing _ _ Exterior siding
Ceiling height ✓ — Nailing _ _
Roof _ _
r$F ed trusses _ Hurricane Clips
Rafters _✓— _ Purlings
Cathedral Valley rafters
Beams — Sheathie — — —
Span — Flashing
Blocking — Nkather application f- _
Nailing — — —
Fire—stopsWalls & _ings
— —
Sh wer walls _✓ _ Furnace ducts
Dropped ceilings — — — Main electrical bOK— — —
Roof Holes Plugged — — —
Firred-out walls — — — Others
Stairs
Riser& Tread Headroom
Width — Stair Jacks —
Landings — — — Handrails - —
Iggections *A — Approved: D — Disapproved; BY — By; DIE —Date
*A D BY DIE, A D BY DIE
Fireplace
CansE _ _ No. of flues
Flashing — — For: —— —Soffits — — — .—
zFrar Soffit Vents ✓
Closed •�_ _ Ridge Vent — — —
Cathedral
Windows & Doors
Impact protect on Header Span — — —
Openings
Sin Height Caul ki��Attic —
eF—Mation 7 Access .�
IV PLIMBD U — — — — — —
Roof vents .Tacks T Pipe Rums ✓ _
1Yaps �` — Bathroom Facil. —
Clean outs J� Handicap Facil.
Hot water Pressure Valve —
Mechanical _
act u & Bath Cl. Dryer Vent
Furnace & Ducts — — Stove vent — — —
Insulation — — —
air — — Floors
Ceiling — — — Exterior Doors — —
V INMIOR OOVER — —_ — — —
Finis -ors Finished Walls
Type T�w
Nailing
Decks Balconies & Lofts. — — —
Ulardrails — — Structural Sup.
Fire Protection — — — —
ors — — Smoke Detector
Firewalls & Ceiling _ _ Wood Stove — —
Final & Occupancy Approved. Date: By:
R1S:
I
III
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED�_�" —
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE,
OWNERJUT eS f i beer GP''4'0 Rd, S�ScI�`o� tvuz 94'S``� !�z`�78/
DIRECTIONS
TO JOB SITE 7M/. IV0, 6>^ �j / �t tw"X r 90 r17#fZ 4 i 1,;A, O,Z 0ee-r e eenesk Rd
LEGAL (Ee SEE ATTACHED SHEET)
DESCR. TIT Cf Reve's S4ol"f �a, P7O- 4�3 ./2 �Uw `� Se� 3� T .2/ IV R. W. �✓m.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING `O 5 'ei e-A Ge,
Class of work: IX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
8 '/ -n e A,, res e 4C e o tt
Valuation of work-j o c7 PLAN CHECK FEE PERMIT FEE p C)
SPECIAL CONDITIONS: / /s .� u y Os�I�S! tl�� WQ �/ ?h e-
ev 8
t-k e- e Ae t s /a(e w� �!/ ®t!�r cv�c.//.s �s per /a�t
BEDROOMS {DECKS CA PORT ❑ NOTICE
BATHROOMS f TOTAL SO. FT. GARAGE QIS SG
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT 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 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I Certif that I am a currently registered contractor in WORK IS COMMENCED.
the S to of Washington and I the
aware of the F O OFFICE USE ONLY
ordin ce requirements regulating the work for which
the ermit is issued and all work done will be in
con rmance therewith. PERMANENT SHORELINES
SEASONAL ❑ FLOODPLAIN
Firm E.D. NO. S.E.P.A. ❑
B Special Approvals IN OUT YES APPROVED NO
Y
Lic. o Date ZONING
Vo 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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
LIC T N ACCEPTED BY PLANS CHECK B�Y� APPROEDV R ISSUANCE
Owner Q ` vL Date '12— B
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
— CAUTION — MASON COUNTY
This card must be posted in a BUILDING DEPARTMENT Bldg.Permit No.
conspicuous place on the premises.
Date:
The original must be returned to the P.O. BOX 186,Shelton,Washington 98584
Building Department. 426-5593
. . . . . Thermal Insulation Compliance Card. . . . .
Thermal Performance and Design Standard for New Dwellings
I hereby certify that in ulation has been installed in the new building constructed
in conformance with the requirements of the Seattle Building Code as follows:
ITEM TYPE THICKNESS R-VALUE COMMENTS
(or trade name) (material only)
FLOORS-over unheated spaces ^�9
WALLS 1st LEVEL
2nd LEVEL —�
3rd LEVEL
ROOF ' r /O �� O
CEILINGS Blown ElNo.of Bags Wt./Bag
Batts ❑ Area Covered sq.ft.
BASEMENT WALLS
FOUNDATION
¢ DUCTS-In unheated spaces
I
PIPING-In unheated spaces
Vapor barrier of 4 mil polyetheline or equivalent installed in crawl space �G S
j Weatherstripping, caulking, gasketing or other treatment to prevent air leakage (,
! l Title or
Installed by C 6�"r'1/ �i 1 /e-s Company Date
Title or
Certified by Company Date
.� Inspected by Date
fi
PLOT PLAN
ADDRESS PERMIT NO. t o
= s
s o
0
a
LEGAL "
DESCRIPTION LOT BLK ADDITION a
SITE AREA Sq.Ft. AREA OF SITE QCCUPIED 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"ID 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'
W
SGPT �' c
w
z -27 �
o e
e
I/We certify that the proposed construction will conform to the dimensidhe and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S)OF SITE a STRUCTURE(a) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORI ED R P ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED DATE
DISTRICT AS NOTED
SHCLTON PRINTING
MECHANICAL PERMIT APPLICATION
MASON COUNTY DEPARTMENT OF GENERAL SERVICES
P. O.'BOX 186 SHELTON, WASHINGTON 98584 PHONE 206 - 426- 593
DATE ISSUED �4,�
PERMIT NO. /�
LEGAL DESC_ : SEC. TWN. NO.,RANGE WEST, W.M.
PLAT DIV.— LOT
OWNER ADDRESS
CONTRACTOR ADDRESS
DIRECTIONS TO SITE--
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS OF
MASON COUNTY AND THE STATE OF WASHINGTON.
SIGNATURE OF APPLICANT
NO
BASIC FEE 10.00
1 Forced-air or gravity-type furnace or burner, including ducts and vents
attached to such appliance up to and including 100,000 Btu/h 6.00
la Appliance over 100,000 Btu/h including ducts and vents attached 7.50
2 Floor furnace, including vent 6.00
3 Suspended heater, recessed wall heater or floor-mounted unit heater 6.00
4 Appliance vent installed and not included in an appliance permit 3.00
5 Repair or alteration of, or addition to each heating appliance, refrigeration
unit, cooling unit, absorption unit, or each heating, cooling, absorption, or
evaporation cooling system, including installation of controls regulated by
this code 6.00
6 Boiler or compressor to and including three horsepower, or each absorption
system to and including 100,000 Btu/h 6.00
6a Over three horsepower to and including 15 horsepower , or each absorption
system over 100,000 Btu/h and including 500,000 Btu/h 11.00
6b Over 15 horsepower to and including 30 horsepower, or each absorption system
over 500,000 Btu/h to and including 1,000,000 Btu/h 15.00
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 22.50
6d Boiler or refrigeration compressor over 50 horsepower, or each absorption
system over 1,750,000 Btu/h 37.50
7 Air-handling unit to and including 10,000 cubic feet per minute including
ducts attached thereto j uo",2 4.50
7a Air-handling unit over 10,000 cfm 7.50
8 Evaporative cooler other than portable type 4.50
9 Ventilation fan connected to a single duct 3.00
10 Ventilation system which is not a portion of any heating or air-conditioning
system authorized by a permit 4.50
11 Hood which is served by mechanical exhaust, including the ducts for such hood 4.50
12 Domestic-type incinerator 7.50
13 Commercial or industrial-type incinerator 30,00
14 For each appliance or piece of equipment regulated by this code but not classed
in other appliance categories, or for which no other fee is listed in this code 4.50
15 For each gas-piping system of one to four outlets 2.00
15a For each gas-piping system of more than four outlets per outlet .50
TOTAL
SPECIAL CONDITIONS :
APPROVED BY DATE PEMIT VALIDATION
CK. MO. CASH
MASON COUNTY
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.
-Terms D, L//OL r, / e--,r a re-ek R d.
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
3 WATER CLOSETS 4000
BASINS r Q
BATH TUBS
2 SHOWERS .Q�
WATER HEATERS
AUTO.WASHERS
SINKS
i
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer I
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT p SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit issued Permit number Receipt No.
$ 70� � -1) C1 e-31 .0*)