Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
BLD2004-01814 Cancelled SFR - BLD Permit / Conditions
n m N Lo nR * * wrr7201 m m nc .. .. �.. m AO � o =0r m m� mm no (D � 1 w o c m� � � m o gcoo1N a mr D�A m m, _N n 7 0n m 0 m mm Ej CL mT zom ca cA 0 O Z m m z P CL mqz w y d z M 33 o C4 CD _ (n Poo T w o D 3 o T � d � m2o O 0 n z0 �' m C AV B c w m m m A w Z C Z COA Ii1 Z A N G O < 5 mw P o Cl) o+ _. m m m m Z o A m w T < m N .. .'. K S O d Co C) � Q O. . xy � m a' 0 O — � IR m T m � tnz yg c O zA m � 0 m 7 N A m w w R� T O o o • � o �ww � Cl) r m oo � _r ' � m ro p co m Z x a w ' e0i rn m � rn 3 m m r Z S� ly m = W _ ca 0 o mIF e OW 0 r_ C r e p O m z r xm c 3 L� ° Z ,0 rm O i � � = = $ v_ v �m � �" 3 rs v 3 3 S S a > > C Z .g > > > > n yTo z0 . j m m T A '�— m Z mT T m =O OpO 0 T m po r W C O m m n � z0 B o y = m' m mn ca rn MP MOOOOOOKIII N_ N -u m m y 9 G 1 v .. .. 7 m 2 O Z Z g c o 0 o r C SnAln + � nln % R m m C)y g 00co $a N y� �+ °: AO v_ wm � m a 'o "o' {<N�.IUkpo �pl" rn m mSJ+ m � ON mmm N � mw O O O U U O O O t�.f 7 m 0 _ Cl) .. .. Vp A Ni CAi 0:N'Ni Ni(ai yai.N..i co F WN m � � � A O� N'N'N�N'ry+ UI N N �o'o ao QB N V o'o'g'o' p p O 0 0 U'U'U' C'A O 0 tT 0 W N A A N N t r .Vi v N O O A o XmOM Xg 5' CD - X0 d X -j0 co �V Ow G n( ,V C d c w O m m 7 A m O N m p m V O O 7 m m 0 d co � ? � o wm 53 o o D y4 PL B Z) M < °1 2 0 3 CD o. r aa ' CD AD m 0 m m a � 6Co o m O N F G _ 7 an d O z O O NO" 4 d CD 0. o w O w m JO. < .� COL a CD a7 c30 (D� .O-. 7 C.GCD � m" O. "� � d m V x � mo (D _. 3 o� y m3 m01 M 'mm- mwy anL,d o 0c CD m v � c � nww r a ad @ =o > w N3a . a CD F V 0 w O O (D ' N `Z a 7 j(o m$ y3C Wei d ° F mm Mom' mom (D St CD m � 3 FQ 3mv ?gym �+ c m � o h o me 3 my ymn X. v c n w O O " M m y 5 d f1 Q c � w m, 3 � c �. m w occ age � _ � F,d agW � � o 3 �' � m � v3w aym 3 cm c _. mg w.o ? -0 a m3 Xo cad � o � m CD-0m o 3 n odi c m ay 0 60 m m a $ 3 � CD(D m m (� 7 n o �1 0 m d G � O OD o y3 o. � n �. � g 03 ° dggpa CD33 � Et w o 0 a , 7 N d = 0 fp £ O Q �+,,, d �`� !A '7 m m n c 3 a 0 A c a o�W o 0 d ro d c m m 3 1 ? m Z W m a 30- <_ = o m0 O , g� ° O tag sF5 -p O d y, >r C. � O N m� O an d w c 7 d �. ai m T �. m M � w. m n ig m 3 m M m 2 v MIZ m 3 cr ae a Q ez � co o3v 3 o,v Vdmc co3g 0,m -coo m �. 7 y dJ�• 7 N C• 7 G m A A N 8a ° � 3o c s' mo, d CID—fir ^ � � o aON w 5 3 - F8 ?. d � wy �<< ao a w q, d 3 m $ m o w g u c o a W w �n m o o h m y.m = = N 3 fa n. w w $$ d 7 V a v � r ? m y = W O � 'pw Q21 CLZ. O6 m (X, Q M Q O r, .�i m.< m n M CD mw 3 d d 0 r 0 .. ID 0� tli d d y a. O. 8 w a: F - O m y O. 7 � m .1.. 7 CL CD ad m o < = �m a =r d � d O w d m' a w m (m3 G �J O N 7 C 7 7 p p N m &l w m.. Op 7 O. wV w (D �j GO 7 0 d p O! O O w O so m a y C < �' 8 a d 3 M w Cr. c_7 �C. w .wig 7 7 O w O .� wN m on 7 N O mor 0 V w m w m 0 o V q G < 0 0 $ d 0 3. N 0 a 8 m C �, m d d O d .wi G y CD 7 C j d w 2 O N o w E a � • c 0 acc� 0 n -, 0 - m W CD m •O o m O mG 0 ID CD go :3 (D :L F �< N w <' O. 0 0 fD V m d D am 0 59 9 an 0) 7 c � 7 O. w d A d F (-p C C a c n w V d 7 w m � � a < O m a = m w' a °cow m °-' ' ° a CD m F V G3�. y F. an d y o. m a r � m m ' pOp A b xo D wOD N 8 5.w m xm v, J xrPrEr0 � xf o s 0) xax � xw0 $ cp p sl — m c A ID O m 3 O N ° m < _ m dp rm - � = c3. � m 07 m ° 000,2 $ ? O A omi � y m � my °1jo v a �. m c3m NN 09 = 7• coS 0mm 3 xm ao a79LF c � m m a S. 3 ? 3 °' 3 � v =•vim a m a U S o• o � 0) ('D ? � m = °� a � a Tom -(D n7n $ m moEFomv 03 m W ma $ 00SR a- �_ � (Ong007c EL- 3a n7 WV V $ m m �y = N 7 �`< G m }^ c c F (� o =. y c w nc c :m 0 ga 'J 3 �. m m . c g °ca ° � a m - a3 � � co c mca m ff a ; yea CD � 77m °' am = x c0 � q mm � m Am p �< c. id � 8 m N (7(��� C �< m 2 0. f� ' O y 0 m ; fA Q a' m 3, °mm < 3m, mm - o ? F. mo3 mac . Fw m ? af $ m7 3- d Wvm � � v w 'a m ? 0 cm88 m 7 7 y m mm w0m - em 8 a im in < �' 0 00m = - O" m M. '0 m n mfO ID mq � $ O :E 'm CD R > � x a °3- �mo 0 8 = m .�n= 3 '�O 7 m 0 = m � m c CL � � c "� O ° m � 3` m3 � mm ocm '08 m�F � _ 0Fi7 (D m m nv_ o m �0 c < H m � $ m v ' � -0 38 3 m ,Q m $ m a = m a p7 (° m ,Q W n .7 1 v 1p M C 3 m m = n z m m a v � =r `L- o m -� mm8' m o � m »i3 = o' m ' m mm 9 `< � 'm 8 S M (D a m F o m o ( v m o a 0 8 ° m oCL° c 3 m v c m • < gg 8 g °,�Tcx. F m m g $m = m o F w moo 3. n � Fv0 � m7 m 7md7 (� > > n Cm 0/ C = = m R3 � nn8 C ym°° CCm roa .Zl� p 0 7 0 C O `'� 7 m C V 7 y m m m v w D = n P 7 7 _ $ 3 w o n47 = g a m m m m c° 2 m ° o' �m m � n o d � n m = m 7 n o < 8 08 moya� F 3 Zrv �P �" _ $ w $ �' y � = 8� mw 8 2014 8m $vvmm8 �. 9 =mm o � oom wtp � 0C „ u=, a 8maam � w ? � 8 � 01 � 'a mo = ca `� om3 ° fA 0mmc g � c mam m = » c) nm � a > >' g m $ w < m m 8 0 � c t° S 3 6 ° 0 ar o m = �m < 0 3 5 . a m S 5 g (D m o � 3a ° _ 0 ma � d c8 990 =0. g m 8F v m a v m m o 3 w m _ `8. o $ an =r om � ' 3 � my Ax c0. c � 0 m 3,7 � $ $ 'a mo ° W mm we c = � 00 =0. O fig.. T m 3 06•O $ nm < R po T o, pA m 0 o Zen - m � .0 cm c 0 = m R6 v m ° 0 ° = 7 '0 o f m e - c m g m o n F " � fm 03 o<iw �m < 0 _ro da ? � c �n o- g ° a A2 d - $ aci c 0 g0 m 8 d m m o g CDo8 '�8p 3 n o � 01 c a0 3,< 8 0. m o" CD00m °.0 3 301y c yg fOm mma� cz vm '- m0 cm c cl) $ m .a F < F o 3 � = 8 c w o �. v c = ° w 8 ° 8m9 Q0 T. m mo 8 G < Fo gym = WO a, 8 3 � 0 0 0 "' oT0 8_ 8 c0W OLo y m = 33 A � � o =m n� caa m � 0 � W ; mx om ? m � m = F °- 5 m = ° - � � m 3 7 w .� 0 n = m 7 '� c E 0 c m m F in a 3 m < >• y = W N O 7 Q. m m7 03 d � 0 w co = C ma 6 0 aga Xb+ v X7• m Xis X3 ."� A m @Qc o m — m A S " 7 w m 3 m O C O _ ( m m mm \ g O ag ^ -Ci 6 3 7 m n -0 "�' m 7 o T = m m mmc m mm m � 69 ° - m � x � m S m3 a. v 7 8 � ma < o' � Od3 0, gc � m p�p J_ 7 m _. :3 N m 7 O G ? 6 7 m 0 G Er pp 7 m O. �D N O' m (p� m 7 m 3 st w 0 7' m V (D M 7 O 7 m n 7. m wpm' Q£ -,0q 7 m 7 O (gyp pmj p m 1 �t n W m 3 � 3 v a ' 3 CCD Qom ao• d � q - ID CL mm3. to 7 maw. m j N �`�J''1 m m m C m C "�'• m O. Or ^ a m 77m my0 �0 6 MCL p C O O �m 7 m NO � E-F -Do oro y . a 3 0 m �S Npp O CD Ocr 8 < A 7 m O. C COL o m C j 7 y SL Q Sao om jO 3a m oo 'o -, m 7 7 7 3 D K � 8g mf W 0�_0 'D w0 cK Amy CD 3 7 m _. m `< O � y Dt `� a 3 m•v m 0 7 3 � 7 ,G 7 C O (mp X C f{ 1 8 .7. �� 7 v 0 _ 7 rJ �m m C m m 7 w � m we 30 a w SQ W8 MO � �' my 0BDf m ' m3 mm o ro BSi mm o � = M=ry @ ? 3 O � d c n 3 c m 0 — � � , � 8 7 7 7 -.-0 c; CD n� w x m m7 C O C Sg CL < W O 7� s co �c 0 8 m (=D 3 m w N 3 0 mX oo- m 7 m O () s.� m � 7 00 cg m Cl. 7 5 7 9j p M a g M m m v o0 $ 5 m m m 5. 3 s -� A- go I CONCRETE MECHANICAL MANUFACTURED HOME 0 Footings 1 Setbacks Date ' z v By ( Iv Ribbons a, Date CAS" Gas Pip i F$T-07 Zo Date By J a Foundation Walls a By Set-up Date B INSULATION Date By B G 1 S Insulation Floors Final Date By Date By Date By FRAMIN Walls FIRE DEPT Date By Date 6- /3 Q1� B y#PA Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date jol3piir By"KD - Date i By 110,E FINAL INSPECTION Water L ne Date By I Date By Date By Atc<-k P4.65 1cr4we s,� Al-r twt, 41 RE- bS o't os- L R-7y�.�4f44VV �Yj/ ff- S n - -F U — ljtinl W t7 3 s-- z ot- Ve.116p- r s tt ,(_ s suAL / 0 Of s 7 7 yRIX Sk &Lei rxu S I rj A-s TUS c� 6i45 i71p �G. 1 ���Is�c�co� �`.tif0 v, ' P.n all frlTs'tF�rCiFS �lQ�iCI c7ic.- F'f�-l'—Ia3Lr+�k*t✓r1.11 J .x,stagy ,rsc �,-t Kau� J 0 T y building Permit #d d �) MASON' COUNTY M, BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location I630 jr' � Kd p L� This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance t1 r i�i fGd L4 6k Sq V4�tAul Cow tir- &rfu r - o N 4 G�61 fc2. o,�• G'u.�...• e!K" 1 —Ts c 3- 'l sc A- `z c91e 3- tsc F_ 6iF- �-- 12 i� tit x E M9L You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing NC Make corrections, items will be checked n next inspection �_ (/ IOKto Su�t.� ems✓' f �Gwr� I�v►?,/J� 3 (c � Gr ❑ This is not a complete inspection Department 6 Date Inspector 210iG' DO NOT REMOVE THIS TAG Buildinq,Permit #A�y_D!$"/MASON•COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427.9670 CORRECTION NOTICE Job Location 1630 FAa- 39MsF4u 90-� D ime This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance Alnl- 2 I or- By T5C — A E C'> — / t if T L 1 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing Make corrections, items vjill be checked on next inspection ❑ OK to J7(,C su L ❑ This is not a complete inspection Department . Bch Date 057 01 b5- G:5-D6PI Inspector I� DO NOT REMOVE THIS TAG Building Permit # 61.b � ^ ©��Iy MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE h STEvE -TA'+FT Job Location *30 FA0- Teus:ea gbAb DAGLE This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been f und: Items Listed below must be corrected to gain code compliance ? ss &WADE S `' .0 T r Ef 51rt C CI-' .eft 6l 4- woogr r c &6 S OF C.ei9 cJZ W A < < ra(A Ilk, )5�%t 2tcWK P Ark 10SE/31/_4S. GurRFS ix 4 AyAr-i MAJ AzA< �1Fr-ri a �iL,rr-4 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to -F6np 6�P�t FzqR LBo bays h-PmA ❑ This is not a corfiplete inspecfio6 Department Date Db Lo) rn s- a-DS PM Inspector DO NOT REMOVE THIS TAG Building Permit # ASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 9SS84 (360) 427.9670 CORRECTION NOTICE Job Location 1(030 East- �*R1ZWN Rtxd Dplb This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been fo nd: Items Listed belo must be corrected to gain code co pliance SFDx T 7` w&CAG— lrtrlAlulrc 4a S/auE 1 tAA7 BE -(+Q a s ,e L4� -1136 1 E Fo Q t-)W ' You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to USE Gfas D(DA A-r-1Fr— # 1 LS kiciVE � r� ❑ This is not a complete ins ec ion Department P�Z [b J Date 01 Z"1 101- Inspector R U DO NOT REMOVE THIS TAG Mason County Dept. of Community Development Mason County Bldg. 3 426 W. Cedar P.O. Box 186 (360)427-9670 Local (360)482-5269 Elma Shelton, WA 98584 (360)275-4467 Belfair W r Notice to Obtain Final Inspection November 02, 2010 WILLIAM JACKSTADT 780 E BALLANTRAE DR SHELTON WA 98584 Case No.: BLD2004-01814 Parcel No.: 321307590133 Proiect Description: SFR The Mason County Department of Community Development is currently reviewing all permits that are expired and have not been approved for occupancy and use. Pursuant to Mason County Code, Title 14 Building and Construction, a permit and final inspection for this type of activity is required under the 2006 International Building Code or the code your permit was issued and your property is currently in violation status of occupancy and use. Please contact our office to make the necessary arrangements 21 days from the date of this letter. Failure to contact our office to make the necessary scheduled inspections may result in enforcement actions. To bring your site into compliance, you must schedule an inspection. One (1) $73.00 site investigation fee will need to be paid prior to inspection along with any outstanding fees currently due on your building permit. For every inspection required after that, you may be charged $73.00 again, per inspection until final inspection and conditions are met. To schedule an inspection, please call (360) 427-9670 ext. 262. If you should have any questions regarding this notification please contact the Mason County Permit Center at (360) 427-9670 ext. 352 Sincerely, Terry Ryan Mason County Department of Community Development Cc: Property File November 02, 2010 BLD2004-01814 Mason County Dept. of (Community Development Mason County Bldg. 3 426 W. Cedar P.O. Box 186 (360)427-9670 Local (360)482-5269 Elma Shelton, WA 98584 (360)275-4467 Belfair Notice to Obtain Final Inspection October 30, 2008 STEVE DAGLE 1 1630 E JENSON RD `fS> CCYVI c SHELTON WA 98584 a a d rpS S Case No.: BLD2004-01814 Parcel No.: 321307590133 Proiect Description: SFR The Mason County Department of Community Development is currently reviewing all permits that are expired and have not been approved for occupancy and use. Pursuant to Mason County Code, Title 14 Building and Construction, a permit and final inspection for this type of activity is required under the 2006 International Building Code or the code your permit was issued and your property is currently in violation status of occupancy and use. Please contact our office to make the necessary arrangements 21 days from the date of this letter. Failure to contact our office to make the necessary scheduled inspections will result in enforcement actions. To bring your site into compliance, you must schedule an inspection. One (1) $68.00 site investigation fee will need to be paid prior to inspection along with any outstanding fees currently due on your building permit. For every inspection required after that, you will be charged $68.00 again, per inspection until final inspection and conditions are met. To schedule an inspection, please call (360) 427-9670 ext. 262. If you should have any questions regarding this notification, please contact me at (360) 427-9670 ext 595. Sincerely, �� Rich Todd Balderston Mason County Department of Community Development Cc: Property File October 30, 2008 BLD2004-01814 Mason County Dept: of(Community Development Mason County Bldg. 3 426 W. Cedar P.O. Box 186 (360)427-9670 Local (360)482-5269 Elma Shelton, WA 98584 (360)275-4467 Belfair Notice to Obtain Final Inspection October 24, 2008 STEVE DAGLE / 1726 MONROE ST. — SHELTON WA 98584 Case No.: BLD2004-01814 Parcel No.: 321307590133 Proiect Description: SFR The Mason County Department of Community Development is currently reviewing all permits that are expired and have not been approved for occupancy and use. Pursuant to Mason County Code, Title 14 Building and Construction, a permit and final inspection for this type of activity is required under the 2006 International Building Code or the code your permit was issued and your property is currently in violation status of occupancy and use. Please contact our office to make the necessary arrangements 21 days from the date of this letter. Failure to contact our office to make the necessary scheduled inspections will result in enforcement actions. To bring your site into compliance, you must schedule an inspection. One (1) $68.00 site investigation fee will need to be paid prior to inspection along with any outstanding fees currently due on your building permit. For every inspection required after that, you will be charged $68.00 again, per inspection until final inspection and conditions are met. To schedule an inspection, please call (360) 427-9670 ext. 262. If you should have any questions regarding this notification, please contact me at (360) 427-9670 ext 595. Sincerely, V, Rich Todd Balderston ---�' Mason County Department of Community Development Cc: Property File October 24, 2008 BLD2004-01814 F. SrN Soy( R Po O' E-4 . y G1�l-C---- — O Q n - 3' 'f APPROVED MASON COUNTY DCD PLANNING Ir SITE PLAN REQUARED TO BE ON SITE NGES SUB ECT TO APPROVAL r BY Date 4l"2 .i�+ s Zio� '1 C1'7 7 3"Cii d2i Q n r 03 a � kL �IT oh i I H ((( f L "1'13M MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/ VIAQ Compliance Application Owner: y vP 3a,-) DM 1 e--� TTelephonedu c '� Ll Parcel#: Z , i Type of projeci New Residence ( ) Addition ( ) Remodel Total Sq. Ft. 1S Floor 2" floor: Heated Basement: of heated area:: Z-6w 1_. 7 Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace X Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O Other: Specify Glazing Prescriptive Option see reverse side circle one: 1 II (IV Percentage: Compliance Method O Component Performance , Chapter 5— Calculation worksheets required Check one:: O Systems analysis, Chapter 4 O 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 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 Manufactu"rqr Room/location U-Factor Size Quantity Square Feet Windows: WI ows: 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 = %of glazing MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permit Assistance Center SHELTON (360) 427-9670 BELFAIR (360)275-4467 Elma (360)482-5269 FAX: (360) 427-7798 WEB SITE: www.co.mason.wa.us P.O. Box 186, SHELTON 98584 2003 Washington State Energy Code (WSEC) 2003 Ventilation and Indoor Air Quality Code (VIAQ) effective July 1, 2004 Code Compliance Application Form The following information will be required for the WSEC and VIAQ plan review: 1. Complete the Washington State Energy Code/ Ventilation and Indoor Air Quality Code (WSEC/VIAQ)application located on the reverse side. 2. Complete the window and door schedule on the reverse side. Include all windows, skylights, sliding glass doors, french doors and any door that is more than 50% glass. Use rough opening dimensions of the windows and doors. Information about the U-factor of the window will also help to expedite the energy code review. If you are complying with the WSEC by prescriptive path and are using the area weighted average method you must include your calculations. 3. On gp our building plans note the location and fuel type of water heater, location of exhaust fans Y (bathroom, laundry, kitchen, etc.) and R-factor of insulation proposed for walls, floors, ceilings and slabs, 4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 284. Additional WSEC and VIAQ compliance information is available on the internet at: www.energy.wsu.edu/buildings/ Prescriptive Requirements "for Group R Occupancy Climate Zone 1, Table 6-1 Glazing Glazing U-factor Wall Wall Wall Area % of Door Ceiling Vaulted Above interior4 exterior Slab4 Option Floor „ U s 2 Ceiling3 Grade below 4 Below Floors on 10 Vertical Overhead Factor t2 grade Grade Grade I 12% .35 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10 II* 15%* .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 Unlimited — Single IV Family Res .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 (R-3)Only *Reference Case/Call (360)427-9670 ext. 284 for footnote information. Log &solid timber wall with a min. avg.thickness of 3.5"are exempt from the above grade wall insulation requirements. 1 y+,�"KgMnr.+.'rR.,et °",a.'.P?",. MASON COUNTY PERMIT NO.->C (_) `{—� 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 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner ttAA1L IkA i Company Name a Mailin Address_,_ L ; f z _ Mailin Address t l N (o IeZ", .V— g , City `�h "` tate yf r', Zip Code City f State W. Zip Code Phone Other Ph. Phone t'94 R Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address E Mail Address 4%ty0jakFAT Drivers Lic.# _ DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description r Site Address (Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparation?Yes/No Is property within 200'of Saltwater Lake River/Creek OD Pond 0_ Wetland Seasonal Runoff Stream Slopes or Bluffs J 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work No. of Bedrooms No.of Bathrooms Square Footage - 1 st Floor 2nd Floor — 3rd Floor Basement Deck Covered Deck Other IOCL�h Sq.ft. 132 Garage ' 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 apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. x I—A(-aIy2L a ) ,f u V_ Date: � I ' i`I • (, Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Public Works Department Fire Marshal N FEES Building Permit Fee 3 '' Site Ins ection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee ,Se /iolation Fee 1�1® ��� Pre-Paid at Submittal iluation $ 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 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR I FQRMATIO Owner .mil<t f Company Name ` Mailing Address t , Y)r' Mailing Address City i JjY'l —State Zip Code City tate W P' Zip Code Phone �•4-Le-`<I 1 Other Ph. Phone '7 ; ' � A4 Other Ph. Lien/Title Holder Contractor Reg.4 Exp. E mail address &16 IC ` E Mail Address "VWWr It Drivers Lic.# ` DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic— Existing Septic. Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please include ptreet name, street r umber apd city) P A -"lelim �? Dire ions to site Is"106perty vy�thin 200'of Saltwater Lake ''� �� River/Creek and Wetland Seasonal Runoff Stream_ t—Slopes or Bluffs 1 15% N 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 lype of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPCi_ Natural Gas_ Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs 2 Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent _ Other -iti � Other J Base Fee Z Base Fee S� TOTAL PLUMBING TOTAL MECHANICAL 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 apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. ` X Date: Own Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bid Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group—Type 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