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O 0 N ° n a n-0 0 N O N J C O J Q 0J 0) 0 `2 O O ° O CD O 0 n y 0 N J (D .lN.. £? � CD nw 3 N 3 0- S O O C 4. n 7 3 (D J N 0) 0) � N j N _ y 0 ` (0 X 0 CD W 7 0 C N ? 0 ,0 X J N J J fU J p (D C 0 ° 3 O n 3 W J ,Z 0 0 � v a ° 0 3 w m 9 3 a ' N CDJ CDt° O J N F O CD . C CD J R 3. 0 S N CD Tn' li ale(] KVHlolls 1VAObddtl OIL1311S NO 39 01 03minC 8 N ONINNd-Icf OOO AiNnOO NOSVIN a3n08ddd boa mcni drive z o n proposed footprint 5-0 4 ,6 a 0 4 b footiXiM l o t*y proposed footprint uro. o o I f dsed °°fvrint for duplex v\ � N Q U O p Q Q n \ ? o a d o O ? R V e n V I1 Oa A J' J Y •TJ• Y )f = O p y Q NJ b 6 M 45. l Y 0 Y p y M 'm p a n a � n m 0 y� J O Q � O CL- d5 J N 9 b � / !_ 9NDNVId m o ' o CONCRETE MECHANICAL MANUFACTURED HOME 0 ^' Footings /Setbacks Date LI B Ribbons 0 08 Date, S Q3 L_� . GasF�ing Foundation Walls Date M 331! —by Set-up Date By INSULATION Date By 13 G / Slab Insulation Floors Final Date By Date C3 05 0,'l By /4Q5 Date By FRAMING Walls FIRE DEPT D ate l Oq y Date193 3 By Date By PLUMBING Attic _ �T�H E R Groundwork Date 5 l(o D�{ S�12ti(,<<Cit7,�i Lt�(,GF� Date By WA�c, D.W.V. Date Datk--2 1110q FINAL INSPECT Water LAinV Date B y Da �.. Date By S' 5 0 ASS m O .Z Z7w - CD Cn ° J(�O�D4- S/S�OLfN 4 / d /qY�% %�S�r��4 T�u.z, �,l�ss ► 0 0 0 rl ( O N O � O� 00 1 O h -1 1 Beaumont drive � _ i o I _G G r, ��/ proposed footprint Sd vroposed footprint 7v c Proposed footprint ProPos d t aotprint for t u",CU Alex m � n -r' a W 7 0 0 0 m N Vw�c m O x Na �_$_~, Ox 7mw � m a < 7 ' . O= O Nc NO_ O c a m m (D = _a (D G N 1 m N A -R i cm [J 7 v q A 7 � m � rq N C_. i li 06 co 06 125.09 co S 1 7'EQ60.70 b 159. hB �— N � $ 7'E 41757 N Real«""'"", H.ad VA—PIW ty 06 CU � _ •� � MP � YJ 06 E ` o N a, j N89D1958'W 21.02 v 06 e� co 06 e— co N p 06 � 9 O r Z5 o ' N mU .a od � y�co� - yy- qoo 0 ^^ \ Q NOTE:ALL DRAINFIELDS ARE 11 1 LOCATED 5 FEET FROM PROPERTY BOUNDARIES cu p-o LEGEND _ cky A future site of A recreation hall 1 - ® 4 drainage abutting road 8 t 06cA w S — S Ocu cu O �e N rN N ?� 7l , TS` ST4O,4�� 46 60 RETENTION AO 3 O Sa W • �� l 5410 . !i MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/ VIAQ Compliance Application Owner: Telephone: Parcel#: Type of project "New Residence ( ) Addition ( ) Remodel Total Sq. Ft. l s Floor : 2n floor: Heated Basement: of heated area:: Z 600 Heating System Type: O Electric wall heater O Electric Central Furnace urnace 'w S O Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O Other: S ecif Glazing Prescriptive Option see reverse side circle one: I II III Percentage: Compliance Method O Component Performance , Chapter 5— Calculation worksheets required J -2,— % Check one: O Systems analysis, Chapter 4 Whole House Ventilation system O Whole House Ventilation using a Heat Ventilation using exhaust fans&window or wall fresh air Recovery Ventilation System (VIAQ 303.4.4) System vents (VIAQ 303.4.1) Check one O Whole 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: fro 0 n'lt qr� ENS" /" 5 ° 0 2 z C ° ( v 7 O 2 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 = /Z %of glazing 777-7 MASON COUNTY PERMIT NO. BLD2-W1 UI V1D 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 Seattle(206)464-6968 On the Web www.co.mason.wa.us APPLICANT INFO ATION CONTRACTOR INFORMATION PM Owner ', a( f �50 Contractor Name Mailing Address go A. if C V,(05-f pf Mailing Address City State Zip Code `i 1- City State Zip Code Phone U-j 2 Ij Other Ph. Phone L_) Other Ph. L-_j Lien/Title Holder \ Contractor Reg.# Exp. E-mail Address E-mail Address SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic y Existing Septic Connect to Sewer System_Name of Sewer System Well Water System Name of Water System 4 t, PARCEL INFORMATION - 12 digi Tax Parcel No. TO Fire District Legal Description 4 C> 7`^ Site Address (Please include street naT str t number and city) G ON !7r• h l Directions to it t, " Al rO " n,e A/ ` IZ Yr T i° . ,$ tN 4f /&T 7egkmv/I/ Will timber be cut and sold in parcel preparation? (Yes/No) 0 Lake River/Creek Pond Wetland ` asonal Runoff Stream Slo es or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB- New_y_Add Alt Repair Other Use of Building Is this permit submittal the ult of a Stop YVork Notice, Correction Notice or other enforcement action? (Yes/No) d Describe Work No.of Bedrooms No.of Bathrooms SQUARE FOOTAGE- 1st Floor Z 0 2nd Floor 3rd Floor Loft Basement Deck Other sq.ft. Garage_ 0 Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model 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. NOTICE:THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and str res for review and inspection of this project.Owner/Builder acknowledges submission of inaccurate information may result in a stop work order or pert rEI �tigrittEVedgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify ttr n'�r©nt >�istered as a the Contractor Registration Law RCW 18.27 and am aware of the ordi- contractor in the State of Washington and at am aware a ordinance nance requirements for which this permit is issued and that all work will be requirements regulating the work for jt i is and all mance done in conformance therewith. No changes shall be made without first work shall be done in confor the d 1�C Ilbe made obtaining val. „n without first obtaining approval. approval. X ll.- Date+ 2" 0 , X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by r. Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW AF+PRgiV Building Deere[ ty: Occ Group Ty—Constr. Planning Department - Environmental Health Department Public Works Department Fire Marshal Valuation$ FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing &Base Fee Planning Review Fee Mechanical& Base Fee Other Hl l-�rL5 I t Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) 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 Seattle 206 464-6968 APPLICANT INF RMArI CONTRACTOR INFORMATION Owner /7�0/i/ Contractor Name Mailing Address 'AO F &I& P 'e-5 r Mailing Address City ..(,4 U ii/ State MW Zip Code City State Zip Code Phone( (12.6--Oi?) Other Ph.( — Ph.( Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic . Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 di it Tax Parcel No.JZ D 0 / / Fire District t Legal Description / •_1r �'� ?-7 / " Site Address (Please include street name,street number and city) (J O p Directions to site . // D /,!/ _ S iV 10 f vnv Is your property within 200'of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland easonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1 st Floor `� 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump 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 Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent _ Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. k first obtaining approval. , Date/ -" _� X Date FORADF-516AL USE BEYOND THIS POINT Accepted by DDaattee�� Submittal Amount Due Receipt No. AEPARTfV1ENTRt i£STfEW:' ,RPPROVED DENIED CONDITION..CODES; Building Department Occ Group Type Constr. Planning Department Other Other FEES Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing& Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES