Loading...
HomeMy WebLinkAboutBLD2007-00509 Addition - BLD Permit / Conditions - 3/28/2007 4 W n V r A C, � � � r � m n 0 a ' o Ot nl 0 m m m �Op ° 0 r . N N J N O R 1 M SCAN = y NO m 0 0 N n ^. p0 C G� N r D y CD N 3 c - ,�X', 0 mmm0 CD m N a Z y ? D _ y r m y 2 o -n _ p Z00 CD m o .. mm —IZ 3 = 0 aEi° = w z X � ° X "— ° D N m cn 000 nO 00 —-n -nq D ; W � F CO D Z N N A n O m -A 00 w O G) � < A � a C r o z@ m p _ Z u C m a � Z A � � rn 2 < -n yy m ° o G) z �Em (D fD C a a ZJ T = Z O cn N Z j a 0 m p f'/ — X r n Co -0d o N .. n .. 7 0 0 O p O cn n OD a W = n . oa � mztn m (no o c „ m m m 0 m m O s — tO m 3 3 -� m Cl) .S. N N N .� O O 0 J OD A O m .. C Z ` c O O CD p O O' N 7 0 m co T -nT T o r z OX T x O 0 I � � J = -0. D co rn C N ° m o r z ° p 0 y P o� �° O o fD J b o =r m m 0 o � v Z Ill O < " ' o Z oo m , W ° y v o m O o D V v 3 3 m m T m v v_ T -nm co0 c c m m �. �. 2 w m g 3 3 0 0 a n V ' m m J m 0 0l j � S y ITl m I m fo - _. V y n �7 (fint m ;o fD N ID - -n m f 1p m m n 1D m £ n m 0 p 3 n y T 0 m J (ND S p y U J D N A A A A A A A 0 D T. T. m 0 0 cn m .0 - - - 1 1 -1 -1 = O T. T. -nmmm mmmm y ,T AA m N N DO gom S o m " m pp O p N N N N N N N N N c0 OZZ O N J m 7 S 0 o o o 0 o o 0 o o 0 m O J M O 0 m m a) X � m W o � W N T N W m A A N 0 O Cf CD l< m C < 0 p m m m m j ° <n o 0 o N N O O O O A 0 O o. y 0 0 N y'C,y'y y'(n.y'(n.y'(n,U) 7 7 x = t0 W 'N'N' 'N'N'N'N'N' N'N 0 O) V7 'N'N'NN'N'N'N'N'N'N.N'N'N co W V p •o'o'o'o'o'o•o'o'o'o'o CO D) N O O'O' p O'O'O'O'O N ro to N O X V O O O OS�B�O O O'O'O O O'O'O'O'O'O'O'O'O'O 000 N O -1 -1 N N W O , N O O v o XOCD 0D oD X � � X� X � X � S0 XC0 � O , � C m J A N6 m n3 O 0.. n OA v CD O O. 0 3 ID U < J _ ^ m O. J O < J m Fn �p 0 O as 3 N CD m < a wmc j p N C N J W O N ^ > .Zl p1 C 3 N m M O J N cr 3 m � � 61 » QO m n O CD '0 N O' Z n m O N O. J n fD O m N IJO T. F m m C O N 3. O O N t0 N N C N n m N O J N O m C N m N CD 9 O y J 3 J d 0 O � O C CD CD ° v 3 z � m mx CD tO 0co Z CD m N J O '� O N Q 3 = m 0 -g m y N O w O 'O m Ol f0 N N N ° (D N O CD 0 '� O S N x N >•`2 3 3 d p J J m N m N _ m m m U a:3 j O L j Nn n� N' - > o y °O C SO m m D C J CL CD J c - a m CD 0 CD y 35y 0o > omZ ? Omm and T am o < sCD M Cm $ 0 (D J =r mm w CD r mn Oco n C m m V yDN) N N NgoN Na C m n mJ tmp NJ o � ymo m - 0 0 O CD C a ° ° OZ _ J O m omy m on o nm m m o ' NW6I O tW CD 3 J =Dm = m Z £� wpa _� 6o cn-m < D 0 � 0 Z Di CD _ c O O N J N TCD O (O m a) cD __ a m J. 3 j Z N m -0 Tcn C m3 m y n m ppO So 5* CD CD m Nc J c CD o . 0 d DC Oc w On m CD 0 - COO D N N co b 3 N - J N n w Er P O j 0 N fO O ° �. O mmm °CD n 5 C m Z y O O A O n O N O. 0 m 3 E �' n X S H S v m O m O N O m f O N N m O O .J..^ 0l O� J 0 O O m C O N O r S TO) S-0 N y x 0 0 S D C pj 0� D v A " cI ovn COZ m n o °, m �L Jvm co n CDO m Sn O In m m O N „0 O n 1 j O C S J J N O OO J O. y N N p^ m m J J 3 NN mJ C ^ O N BO 0 N _ 3 N3 l NCD 0 m O cr '0J m CD Q O m J i om c CD O CD O ^OJ N 3 C'd m N 0 O D CD N < O. m j J m O" 0 7 CD N m O f0 O m �, 5. 0 v n ° mo m s3 m 3 < 53 ° m N 7' J m m O m D) 3. D a� C - J N_ p O. N W� N l< N d :3 = .J.."O C °1 a 0 n N m m < O O t0 coo Cl. CD o J W Oco .... N O O v N y O y N X'CD Sn D X < 0X 0 2 X W N 1 X N O ° = X `GS n N ON n O O 3 0 < ' 3 N o n O , q N n 0 m ° �'' `° g (D N 0 co° y D' n O N N .J-. j W < y p (D �� O �� O _. 0 10 n i (D (p j N V W 0 < C j C V O � £ O Z O O N a C n N J X CL _ f) �, O N O O y ID 7 'O = < N ry - < _ J p, O 0 0 0 (D O n N O (D a N Cn N 7 O. D O -c a (D � n 0 0 CDDa' 3mnyy o � J m N0m � o CD o' W �» m Q J � 3 o x (DQy p o3mp 7c y �. J N 0 c F C (") � CD o - CD CL 01 0. J y S MoMm CD_? omN 03 CD CD 0o D � ww { 000x �� 3wm n J C O O x 3 0 f° ° 7 In O °' _ (D 0 (D - N y Q O (D 'O (D O� N '< (D y C (M S SD DSj .-. f 0 O S y C O , n p n m 3 . SD N M 'o f° <. O Q 0 N C 'D O y O O SD (D y "O J (D N W (D 7 ? C N m m 0 SD n F p m n > > J (D m 0 = 3 Da N d N .°< O O y O N n (D = F -O y O CD N -O o N 0 N O (D n N CD s _ On 3 3 a n r - J O O J .' y < ICL D o N o < 3 N - a o 0 0 3 v o - r y J _. N D ° m y D) n 7 (D J 3 d F 7 N 7 p' W y 0 O O D Q n CD o _ D C (D (D 00 CD n ° and � NCD yND m y a � -oc o. O O7 SD O ° 0 d ID S O N n (D 'o 0 7 7 p (SD N y y >. 1 NCD J0 'U,p � c o y7 mom » 0 (-" n a) f. � ¢ ° m () m N 3 N n S F y y 0 a (D m C = j N - < y O p j O O N N C y O' J O O N y 3 t7 0 Vi p A C = m S CD y SD y o: J o � 0 7 3 v N S m o (D Q » O o m ° N N m n n n < X 0 0. J (D p Z O (D y Q n d 0 CD J _ 0)) 0Mcco- (D mm A <� t° mm C � 3mN m ° n (Dc p_ N -p » Z c y 0 y o n0 CD Nn 3 ° � � 0 00 0 � �v o3 m n �. C) 1 Sn 3 _ < �,^ O N (D (D n 0 O (D p m m' c g0 o"° ns 3. m To. n ° o � � vo n < �CD Qy c o J ° K 3 3 m o c 0 o F N 3 c C c D� a � n 0 < ors ^ Fo 7 3 - n0o pAo n� m� ov o � co `N�G Q J t0 N SD J o 0 N O ° c N m0 m N 00 7 0 3 CL (D d . N n (D d 3 S x 7' N y J n < y N S J ti O J Q n (D N � (D 'p (D Z y N 0 (D (O CL y 0 c Nx ndd m 0 O - ° cn f c V R. ON » omo 1 0EF o my (nom O ao 07 m Ig t 8 0F n oo oSD 0cn 90 do (a fn 00) oof yfD 0 = ' SD J D 7 3 am g S C D (O J 0 03Kooc D �CT sy Cl afDj X y. oJ oN °) O SD SD 'O 7 (D O y CO 3 y 0 0 - 0 0 0. G J " 0 N (D J 3 W y m � (D 0 SD Cr O N N ^.m y .p N^V O w d O O o O 0 C 3 -0 • ° 0 = N (Q n 6 O (D N 7 O (D �) C C SO O9 C a n n N y o x . K 3 y C N a c � < T F. g Do mo 0 < my �_ 0 jN fD n� .-. N oFm N y 7 N N D O J (D X 6 C O D N 0 tpn .O (D O ."il O. pC OC J - O S Sy � N � o .0 n N '0 (k1 �l v n p " SD (D (D F N » 3 o N m e . 8 o. <D a m -i < » F s 0 0 n D •� CD O .°-._ = fD n .7-. p. N N O - (D (D 0 Cl (D N 7 (Cn C, 0 J j o- c � Q0) Er CD o (D 5 J s <CD J j O J J CD m n N (FD O CD 'p (D O. y 0 y N SD n F M :;, m o 3 og c °' m ° o. ga c c °�-- nN C .x. CC^i ») - N C CD N Cl (0 CD fD oy. O y c A y 3 n (D d N f0 O (D d .°+ .C-. O N J o N .Zl j 'O (D O W0. N J °. y N D 0 O CD 0 CDN T N O N U7 A O O N C Oo N O N " O f= j d'D C C ^� S N N N 9 O y F N N N �. c -. Z V y O (n N J N g n S O - CL (<D V O 7 0 O N - N CD (D 7 F < F ° 3 0 7 y Q ( J O j j C j S 0) N p NCD < (� C ° 'o O _S C 0) O 0 CD O c C J 0 O N N n N `G 3 3 f0 or N ° » ° n O fD (D j N F y (n (D C S O (°D C SD �< (D 7 O 7 n_ p, N N 7 y a y n W ^ O y D3j F y » 7 W S C. CD 0 = 3 S CD 'aN = (D O 0J a 09� J- » (D 5 o 0 c N N N N r Cl) v O (O m v of O N O O v o XD � X Ei CD Xo 'o XpDo D X3o D_ D_ Xgf_. -4 aon Xo D ut n N n j y 'n 0 V N (D O' '0 S (D r Z n p KID O t/� fD J (D ? 1) C O O1 ID S O O Cn d N CD� C 1 N O y. O N J N .O-CO 4 .Jy.. ZJ (D (D 7 C 7 N (D CD C CD my m � � mv .Z' � CD m Imo O -1 (D - N n o v 3 m o- " 7 00 tO Di m W. O O. G o N o m C n u J p D) 3 o D) f CD j n 7 N J. Z D) U 3 N C S O (D O_ Q N "O D) S 6. 0 O C 7 n n (D n n CD 0 d O" ry 0 (D O � CD m � m �° 01 x w m m no n mF m °� ° � 007 ° Omm m 3 CD CD m n (D m m J < m o v a � c 0 0 , a CD CD xs 3c CD 3 �v �. 07 o m3 ° 30 N y 0 0 (D (D O' OD (D n 0' Dl (D C CD m G a mC ° an T. Sa) CD 'I m CD 0- 3 Q C d J n '. (o 5- :3 CD� w (D n T �CD N N N C_ y C < n co E: D) 7 N N N (D Q m 0 n > > C 0)7 9 0 0 n d c n n (D N O (n <D 0 0 J (D ? D) .° (D a 0 O O ) (D f6 u 0 �_ 3 m - o m m Q0 m o 0 m oa c � ^) ° no m3 r7n � m � 0. 3 m O (D < O N CD n n n O 'O m cr�. 7 7 N co A 0 CL (O'l 6) c co (D O `G 7 N o N j O N 3 a (D 0 0 0 U) N N N n N 0 `G O D) D) CD Cu CD 7 0o mfCD — N m 0 �. (D 3 7 7 (D J O. p D C � zr � 0v CDD � CD CD C � CD CD m o �cCD C' 0 °' y a' a S 7 � 01 N N 0 3 y m (O CD O 7 m O 0)0 ^ CD N 0 D) O N X 0 n 'Z7 p 8 ° n N N 0 Q 7 °.. , a) (D o n N 2L C f (D (D O .°O O ^ 7 D O g nm o � � � � � (D7 Oz O � a O 70 0)7 O. CD 0 O N °.. O N Z c CD 7 - < J - O1 O 4 (a.� O N j O j N R N 3 7 0 0 n� 7 (O C D) n "N' uNi � j (D O N Z 3 O" c _0 O 4 7 n O - � 7 (D m m (D 0 ='m W m N y m 3 m d c_ a O (D S o n f, (D N r 7 7 =r s '° O n c � o n L0 D aN 33c n v, o m m O v CC N wo j C. 7 J' - j V CD c ° n_ C)D C D N pm D O N Opl' (D. C .Tl O CD Q(o n ^ o o D O o ° o K 7 N 0 7 n y (D N 7 Z p D n °a am v3 � c (n N - N D D (D - m CD = 3 � ^ �, � Z CD OX 7 (D O 0 CD CDO CD 7 'O � y 0 iD fl) D x ° 7 n = O A CD p CD 7 ^ C O m 7 O O N 0 0- O j 7 j D n 7 p o cn o > > g � v m0 O c fD CD m m m S. 3 m ,� m CD m CD 3 c7i m 3 (D C p CD O -. 0 co k \ § \ q F f \ / § \ \ 2 / ) & | . }� / } ~ ( [ : � / ° , �\\ klk � E !7 \ , ; lam 3 5) . z2 / kk 2 }} \ � ( k» EF % 2 = \ r } ( \ ( ( 0 ! 90 \ \0 ' ( (/ � } 2k kk ( \@ 39 i § k f \# a ( 0 n2 . i � } } : 8 }\ co o CONCRETE MECHANICAL MANUFACTURED HOME � 0 0 7 TE1 Dete ��d-C By (�'OK Ribbons < Footin /Setbacks Gas Piping P g Rl o Interior Date By Interior-Date By Date By r o D Exterior Date py 07 Byar� Exterior-Date By Sat-up Z Point lead/Isolated Footings INSULATION Oats By B6 f SLAB INSULATION � Date By Data By FIRE DEPARTMENT 0 Foundation Walla Floors Date By Ip m Date By Data By DECKS FRAMIN4 walls Date By Date�j /S D7 By3�;-r - Data /S d1 BYdr�' PROPANETANKS PLUMBING Vault Date By Date By OTHER Groundwork Attic Type: Date By Date By Data By D.w.v DRYWALL Type: Int Brace Wall Date By CD ' Date Is d"t By LOB Date g 2N n By li+J z, r- FINAL INSPECTION o 9 Water Line I Fine Seperation N 44- Q O Data By Date By Data/t b By y Pass or Request Inspect. c 0 Type of Insp. Fail Date Date Done By Comments Ln3T-rQ 'w• [ �t 5 177 cep lt•,. 'o,'rc ar,r.L p:ournlr -mod GaruY.G- UlL Ye SMsHL✓�' 8 N wall �.s�l �s S / o-7 8 ys o�l T 1.5�.. �S PLC q , LA)( y.rp l 0 ACCESS & GRADE INSPECTION PERMIT # o4TD9 ADDRESS INSPECTOR O L cc�c �-i� DATE 52e DRIVEWAY ACCESS 9 ( 1) Length: Width: �o` r Surface: 6tzzwu - Size of turn-around: Condition of shoulders: Vertical clearance: (� L ( X ) need Dost at end of driveway with reflective address numbers GRADE,OF DRIVEWAY %. OF ROAD ROAD ACCES^� Lenoth: O • n„ Width: /oZ Surface• 6A4Vf r Condition of shoulders: Vertical clearance: ( ) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE. ( ) LOT INSIDE SMZ, 4X4 FIRES ONLY. ( ) LOT INSIDE UGA, NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR: BURN PERMITS 4X4 FIRES. C() REMARKS 4� adL Liss N.4.J 70 � r 7rp4 (continue remarks on back) MASON GOUN I Y PE141 IT NO BUILDING P APPLICATION P.O.O . 426 W. Cedar • Box 186, Shelton, WA 98584 ,:j f Shelton (360) 427-9670 • Belfair (360) 275-4467• Elma (360) 482-5269 On the web www.co.mason.wa.us " APPLICANT INFORMATION CONTRACTOR INEPRMATION Owner Ro b e_ry \"/ C.l evelw vl j Company Name a DZ Ll--*- Mailing Address /S U W. M ever-th r. Mailing Address_l 30S g ) t I v'I I SkAle ,City- vA State- City r`CA State L4 A Zip Code FS1� Phone3&0`14 ate-/5'1 ci Other Ph C,0260-i090'G7 a Phone `/ C.-6`4( Other Ph. 5.2 / 9 Lien/Title Holder Contractor Reg.#�d2 LLbI�J�/SUGExp, 8 og E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic !--'� Fxisting Septic Connect t Water System Name of Water System Well t- Water System Name of Water System PARCEL INFORMATION - 12 Di t arce No. a 0 - q3 - U b Fire District Legal Description 1 9 v IV \ - Z Site Address (Please include,street narrrrle, str et numbgr nd city) /,6 0 lac/ /Vc en 10 N,r (�r h ) oh Directions to site h4 }f Go�d�r` 11�5 + cl > j + �f_rh 1 T 4-a e. enlo rq b 000 f 4 00 1,} Will timber be cut and sold in parcel preparation?Yes No Is property within 200'of Saltwater /yu Lake Uo River/Creek /Vo Pond /Vo Wetland N., Seasonal Runoff No Stream No Slopes or Bluffs > 15% /Vo Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - Nevy Add Alt Repair Other PRIMARY RESIDENCE SEASONAL ❑ Use of Building ►d e v,e e Describ�Work u.�c ! ed r��►^-�s No.of Bedrooms No.of Bathrooms 2 Square Footage- 1 st Floor Q?Co 2nd Floor 3rd Floor Basement Deck $, Covered Deck Other Sq.ft. rage— Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No.of Bedrooms No.of Bathrooms Type of Heat Purchase Price$ 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 party in interest regarding this application or the work proposed in the application,I have obtained permission from them to ply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information' provided is ccurat and ran employees of Mason County access to the above described property and structure for review and inspection. PROOF O NUA O OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X '-Date' -7 ner/Owners Representative/ ontractor indicate which one FOR 6FFICIAL USE BEYOND DINT Accepted by: -yl Date 1 ' DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department 6 Q Planning Department Environmental Health Department r Public Works Department Fire Marshaltl� FEES Building Permit Fee 7 75 Site Ins ectio Plan Review:,Fee 3-"2�r 1-. / EH Review Fee Plumbing & Base Fee Kt, 10 Planninq Review Fee Mechanical & Base fee 3 7S— Other Wood/Gas/Pellet Stove Fee State Fee y� Violation Fee 10Z/. G-C/ Pre-Paid at Submittal Valuation$ TOTAL FEES FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. PLEASE PRESS HARD PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar•P.O.Box 186, Shelton,WA 98584 Shelton (360)427-?670• elf (360)275-4467• Elma(360) 482-5269 n the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Qe.Owner R QPt Clevel.gt�d Company Name pZ Mailing Address ISO �,✓ Iv1 even b�� Q r. Mailing Address-130 5- Sfr I l�r�11 % AJE City S he-don State Zip Code 9�Sr�y City State " '4- Zip Code-`/95 t 6- Phone-R&O-WL(b-/5 7 9 —other Ph.Ce// ?(o-yqo-bq Phone G-C-221 Other Ph. 18 - Lien/Title Holder We 11n F4 rsj o M 0 j±'Q A cj c Contractor Reg.# TP:C- �9y&vrr Exp. Email address b bCEeu e l r+nd @ G f'[r}� L.-C o rv) E Mail Address Drivers Lic.#C F_I: 11 DOB_.3-/ E-4f �l Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 D' it Parcel No. _?ACQ I -43 --0Oil O Fire District 14 Legal Description _ o� O /V �3 S q/ Site Address (Please include street name, treet number and city) � UV I Kr 7 r�, 1fe Directions to site } off Cat ten t , f }� �s hf I I +a en10K� 000 F+Is property within 200'of Saltwater PJ6 Lake o River/Creek IVo Pond Wetland—Seasonal Runoff Ab Stream [I!a Slopes or Bluffs > 15% Nd TYPE OF JOB - New Add77 Alt Repair Other Use of Building esidehee Location of Fixtures/Units- 1 st Floor 1� 2nd Floor. Basement Garage Closet a-- PLUMBING FIXTURES (Show Number of each) MECHANICAL UNIT $ 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 Bath Tubs Heatpumps / Showers l Spot Vent Fan OL Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/PelletStove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL GINNER/BULDEA 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 a ura and grants employees of Mason County access to the above described property d structure for review and inspection. P F N ON OF WORK IS BY MEANS OF A PROGRESS INSPECTION. Z$ X Date: Owner/16mers Representative/ ontractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted b lanning Pd Ck# Date Bld Pd Receipt No. DEPAR NTAL REVIEW APPROVED DENIED NOTES Building D rtment Occ Group-TyDe Constr. Planning Department Environmental Health Department FEES Plumbing& Base Fee Site Inspection Mechanical& Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES