HomeMy WebLinkAboutBLD7885 SFR Final - BLD Permit / Conditions - 5/1/1979 State of Washington 12-5-78
Department of Fisheries 12-5
NW 1/4 SW 1/4 16-21-4
Skokomish Valley Weaver Creek Hatchery
Contractor
Jim Olds
Residence w/garage
Plumbing Permit ,,issued
Mechanical Permit issued
$46,000.00
I
I
�:
1i
i
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED r — S 7E
f v £ PERMIT NO. / �s
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
of G
TO JOB SITE d 4-0 1E21 12 ")
LEGAL04Z p / �❑ SEE A ACHED SHEET)
DESCR. 141
tJ 7/ (p "� I t�
NAME_ MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
,- z /
USE OF
BUILDING S t
Class of work: JF-NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ � PLAN CHECK FEE .. �— PERMIT FEE
���^ d-C
.', C-) o t)`, J
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
BY Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered contractor in RESIDENCE
the State of Washington and I am aware of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT.
Firm J�m PUBLIC WORKS
o / ROAD DEPT.
Lic. Now-- Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner Date_ WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Ad
,
MASON COUNTY PLANNING DEPARTMENT
P.O. Box 186 Shelton,Washington 98584
MECHANICAL PERMIT APPLICATION
IMPORTANT- Complete ALL items. Mark boxes where applicable.
1. LEGAL DESCRIPTION /9�/ t f
Location , �� �` ; - V"V Y 5 W. /v
Of NS NS
Building
E W side of Ifeet E W from intersection of
Sect. -� Twp. ` Range
NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE
1. Forced air or gravity type furnace or burner including ducts 14. For the installation or relocation of each boiler or refrigeration
and vents, up to .and including 100,000 Btu's-$4.00 compressor over 50 horse power or each absorption system over
1,750,000 Btu's-$25.00
2. Over 100,000 Btu's-$5.00
15. For each air handling unit to and including 10,000 cubic feet
3. Installation or relocation of floor furnace and vent, suspended per minute, including ducts attached thereto-$3.00
heater, or recessed wall heater-$4.00
NOTE: This fee shall not apply to an air handling unit which
4. Installation, relocation, or replacement of each appliance vent is a portion of a factory assembled appliance, cooling
installed, not included in appliance permit-$2.00 unit, evaporative cooler or absorption unit for which
a permit is required elsewhere in this Code.
5. Repair, alteration or addition to each heating appliance, re-
frigeration unit, cooling unit, absorption unit, or evaporative 16. For each air handling unit over 10,000 cubic feet per minute
cooling system including installation of controls regulated by -$5.00
this code-$4.00
17. For each evaporative cooler other than portable type-$3.00
6. Installation or relocation of each boiler or compressor to and
including 3 horse power-$4.00 18. For each ventilation fan connected to a single duct-$2.00
7. Over 3 horse power to and including 15 horse power-$7.50 19. For each ventilation system which is not a portion of any heating
8. Over 15 horse power to and including 30 horse power-$10.00 or air conditioning system authorized by a permit-$3.00
9. Over 30 horse power to and including 50 horse power-$15.00 20. For the installation of each hood which is served by mechanical
exhaust, including ducts for such hood!--$3.00
10. Installation or relocation of each absorption system to and
including 100,000 Btu's;_-$4.00 21, For the installation or relocation of each domestic type in-
11. Over 100,000 Btu's to and including 500,000 Btu's-$7.50 cinerator-$5.00
12. Over 500,000 Btu's to and including 1,000,000 Btu's Commercial or industrial type incinerators-$20.00
$10.00
22, For each appliance or piece of equipment regulated by this
13, Over 1,000,000 Btu's to and including 1,750,000 Btu's Code but not classed in other appliance catagories, or for which
-$15.00 no other fee is listed in this Code-$3.00
FIELD INSPECTION Basic Fee $3.00
Date By Remarks TOTAL
Name Mailing address -- Number, street, city, and State Zip code Tel. No.
1.
Owner - ---- -- - -
[s.
C _ LL
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY
Signature of applicant Address Application date
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE
Appr d by Permit fee Date permit issued Permit number Receipt No.
`� ,ram-.�"� � ��'�S c.�.�.>
6HELTON PRIN TINE CO. �, 7
► I
MASON COUNTY PLANNING DEPARTMENT
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.
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
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
1. WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer J
I
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approv by Permit fee Date pemit issued Permit number Receipt No.
s
SITE NO. PARCEL NO.
THURSTON-MASON HEALTH DISTRICT DATE BASIS FOR FEE AMOUNT NUMBER
DIVISION OF ENVIRONMENTAL HEALTH
529 WEST FOURTH 110 W.K ST P.O.BOX 746
PHONE 753-8073 PHONE 426-4407
OLYMPIA, WA 98501 SHELTON, WA 98584
APPLICANT
ADDRESS PHONE DATE APPLICANT MUST CALL FOR INSPECTIONS LISTED BELOW
NOT
SITE: ❑ APPROVED ❑ APPROVED
SEWAGE
CONTRACTOR BY:
NAME OF PLAT LOT NOT
NO. SEWAGE: ❑ APPROVED ❑ APPROVED
SEC. TOWNSHIP RANGE
BY:
DESIGNER:
TYPE OF NO.OF LOT SOIL TYPE
BUILDING BEDROOMS SIZE X
WATER GARBAGE DEPTH TO WATER TABLE FT.
SYSTEM DISPOSAL
PERC TESTS INCHES PER HOUR
LIQUID WASTE G.P.D.
BY DATE
PRIMARY
NORTH -SITE PLAN AND SPECIAL STIPULATIONS: SEPTIC TANK(S) GAL. PUMP REQ.
(INDICATE DIRECTION OF DRAINAGE)
DISTRIBUTION TILE TOTAL FEET
FILTRATION AREA SQ. FEET
QUANTITY OF
APPROVED STONE CU_ YD.SAND CU.YD.
FILL REQUIRED CU. YDS.
SPECIAL SYSTEM REQUIRED
THE ELEVATION OF THE BUILDING SEWER SHALL BE SUCH THAT
THE BE-
TWEEN MAXIMUM2 DEPTH IN HES AND 36 i DISTRIBUTION NCHESFROM FINISHED GRADE
D TOP OF TILE UNLESS OTHERWISE STIPULATED BY THE HEALTH
�78 OFFICER. IF THE ELEVATION OF THE BUILDING SEWER IS TOO
DECt� �• LOW TO MEET THESE ELEVATIONS,A SEWAGE EJECTOR MAY BE
- REQUIRED.
ISOLATION STANDARDS FOR PRIVATE WATER SUPPLIES:
REGIONAL PL_/Af,4NiNG BETWEEN WELL AND TANK OR ANY PART OF THE TILE FIELD,
100 FEET FOR SINGLE RESIDENCE, MOBILE HOMES, DUPLEXES
AND MULTIPLE DWELLINGS. NO DRAINFIELD WITHIN 100 FEET
OF ANY WELL, FRESH WATER LAKE OR STREAM; 100 FEET FROM
ANY SALT WATER BODY.
NOTE: 'FOOTING DRAINAGE, DOWNSPOUTS, WATER SOFTENER AND ANY
OTHER WASTE WATER NOT DEFINED AS SEWAGE SHALL NOT BE CONNECTED
TO OR DISCHARGED INTO THE SEPTIC TANK SYSTEM OR THE SEWAGE DISPOSAL
AREA ALL SEWAGE, INCLUDING SINK AND LAUNDRY WASTE, MUST BE
DIRECTIONS TO SITE: CONNECTED TO THE SEPTIC TANK.
FINAL INSPECTION REQUIRED BEFORE BACKFILLING
TO BE BACKFILLED
AFTER INSPECTION
12"TO 24"
Li 2"STRAW
STONE
OOVER TILE
F� STONE
I
UNDER TILE
THIS SITE PERMIT EXPIRES
CROSS SECTION OF TRENCH 0 M
i
E'XlSTG /2"PRQDtlCT/ON ?
- � a
W£LL w/
i
k .... -4
31
EXISrING
-r
t wac
•-�aA
,
50
"RYA 4►w.A�_- F'WF 4't - •-ter^ ` ti\ \ \ -_ �� /
Aft"' C.M.P. 4 4
TO ETA V—AV PE.
.JAB Rai. .��' --. .•_.. "'"'---------f-�- \ _._. � _
r,
pppppp
— CAUTION — MASON COUNTY
This card must be posted in a BUILDING DEPARTMENT Bldg.Permit No.
conspicuous place on the premises.
The original must be returned to the P.O. Box 186, Shelton,Washington 98584 Date:
Building Department. 426-5593
. . . . . Thermal Insulation Compliance Card. . . . .
Thermal Performance and Design Standard for New Dwellings
I hereby certify that insulation has been ' stalled ' he new b ding cc structed
in conformance with t requirements of the eattle Building Code as fol ws:
ITEM TYPE THICKNESS R-VALUE COMMENTS
(or trade name) (material only)
FLOORS-over unheated spaces p l� 3 ' jW
WALLS 1st LEVEL G— 3 1/
2nd LEVEL
3rd LEVEL
ROOF
CEILINGS Blown �. �� No.of Bags 70 _Wt./Bag
Batts ❑ Area Covered /S 9- sq.ft.
BASEMENT WALLS
FOUNDATION
DUCTS-In unheated spaces
PIPING-In unheated spaces
Vapor barrier of 4 mil polyetheline or equivalent installed in crawl space
Weatherstripping, caulking, gasketing or other treatment to prevent air IPfkage
IryfB�MiflUfldjl1 AW11f,A1
Title or
Installed by Company 1927 SUMMIT Date
_ , 98584
Title or
Certified by A_A� �Company Date
Inspected by Date