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N O � m _ m o o •• •• •- •• •• •• O 0 is O ts, 1 es• m = ts0G i9i51 1 C z = z COr y < 0 O rll • c fn r m m m •• -�' Co - m c m0 0 - o �•� _ N N N �' pm m 0 z m Dv W o � � - m -1 s m r- r .0 � m v+ cs• v+ v. a to m m mo I I 2 m m m es no I I O m c_ 1 cl,ED �o m OD 0 O CJ) _ ool O :3 sn 0 ! - c Z _ ;. 0 C. Cn = 00 �. - z CONCRETE /�Z� � a �9 MECHANICAL Footings-Setback MOBILE HOME date by Ribbons date.�� by Foundation Walls Gas Piping date b date by date b Set Up BG/SLAB Insulation INSULATION date by date by Floors Final FRAMING date by date by date by Wails FIRE DEPT. PLUMBING date by date, by Groundwork Attic OTHER date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date ems. by I I a. ,. N OD 0 ol ol Cn 0 - - 00 OD C',, Y _ ol �: z 0 n C z _ o CYI 00 Page No. 1 CASE HISTORY FOR CASE NO.: BLD 99-0212 CHERE BREILAND 1905 FRANKLIN SHELTON 08/20/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By DONE KW BLDA010 Application received 03/30/99 / / 04/01/99 04/ I BLDA100 Approved For Issuance / / / / 04/23/99 DONE TMJ 04/23/99/99 Nip BLDA500 (F) Issue building permit / / / / 04/23/99 DONE TMJ 04/23/99 Nip BLDA510 (F) Reprint building permit / / / / 04/23/99 DONE TMJ 08/20/99'NJP BLDA910 Meeting / / / / 08/20/99 P,P. w��.4E 7&t�TIiF�., 111�'' RE PEND SKM 08/20/99 SKM OUT THE NEED FOR FRESH AIR PORTS 1N ALL"#ABITABLE ROOMS. THIS IS'Fidwo PREVIOUS INSPECTION AND IT IS NOT CATERED IN TIDEMARK, I WILL GIVE DUSTY THE INFO AND ALSO HAVE DEB. C CONTACT THE APPLICANT CHEREI a (360)427-6911) - i BLDA915 Existing Records-See Case Mgr. / / / / / / 04/01/9 KW BLDB110 Building Plan Review 04/01/99 / / 04/19/99 DONE WLC 04/19/99 DM BLDB120 WSEC Compliance Review 04/15/99 / / 04/15/99 ALL WALL EXPOSED DURING REMODEL SHALL BE DONE DC 04/15/95 DLC FILLED TO DEPTH EXISTING OTHER FUELS U-.40 DOORS, u-.60 GLAZING, R-10 SLAB OR R-21 WALL & R-O SLAB, R-19 WALL BLDB130 Planning Review 04/05/99 / / 04/05/99 DONE MMS 04/05/9I MMS BLDB134 RLC Review / / / / / / n/a DONE 04/05/99 MMS BLDB135 Addressing 04/01/99 / / 04/02/99 city assigned address DONE GMM 04/02/99 GMM BLDB138 Planning Pre-Review 04/02/99 / / 04/05/99 DONE MMS 04105/99 MMS BLDB200 Environmental Health Review 04/01/99 / / 04/06/99 need as buiLt.AS BUILT TURNED IN AND PUT HOLD CEB 04/21/99 CEB ON CINDY'S DESK WITH NOTE ATTACED FROM CUSTOMER. BLDB200 Environmental Health Review 04/21/99 / / 04/21/99 rec as built and pumpers report DONE CEB 04/23/9 Nip BLDC100 Inspection 08/12/99 / / 08/12/99 courtesy inspection. DONE GDR 08/16/9 GDR BLDC110 Footing inspection 05/13/99 05/13/99 05/13/99 MONO FOOTING AND SLAB PASS GDR 05/14/9 KW BLDC140 Fr/PL/Mc/Pen Inspection 08/04/99 08/04/99 08/04/99 NOT READY WHEN CALLED FOR. FAIL GDR 08/05/9 KW o, Page No. 1 CASE HISTORY FOR CASE NO.: BLD99-0212 CHERE BREILAND 1905 FRANKLIN SHELTON 08/13/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Date IBy Code Sent Done Done ------- -------- ---------------------------------- -- - --- ------- ------------------------------ - BLDA010 Application received 03/30/99 / / 04/01/99 DONE KW 04/01/99 KW BLDA100 Approved For Issuance / / / / 04/23/99 DONE TMJ 04/23/99 NJP BLDA500 (F) Issue building permit / / / / 04/23/99 DONE TMJ 04/23/99 NJP BLDA510 (F) Reprint building permit / / / / 04/23/99 DONE TMJ 04/23/991i NJP 04/01/9 KW BLDA915 Existing Records-See Case Mgr. / / / / / / BLDB110 Building Plan Review 04/01/99 / / 04/19/99 DONE WLC 04/19/9 DM BLDB120 WSEC Compliance Review 04/15/99 / / 04/15/99 ALL WALL EXPOSED DURING REMODEL SHALL BE DONE DC 04/15/9S DLC FILLED TO DEPTH EXISTING OTHER FUELS U-.40 DOORS, u-.60 GLAZING, R-10 SLAB OR R-21 WALL & R-0 SLAB, R-19 WALL BLDB130 Planning Review 04/05/99 / / 04/05/99 DONE MMS 04/05/9 MMS BLDB134 RLC Review / / / / n/a DONE 04/05/9S MMS BLDB135 Addressing 04/01/99 / / 04/02/99 city assigned address DONE GMM 04/02/9 GMM BLDB138 Planning Pre-Review 04/02/99 / / 04/05/99 DONE MMS 04/05/9 MMS BLDB200 Environmental Health Review 04/01/99 / / 04/06/99 need as built.AS BUILT TURNED IN AND PUT HOLD CEB 04/21/9.. CEB ON CINDY'S DESK WITH NOTE ATTACED FROM CUSTOMER. BLDB200 Environmental Health Review 04/21/99 / / 04/21/99 rec as built and pumpers report DONE CEB 04/23/9I NJP BLDC110 Footing inspection 05/13/99 05/13/99 05/13/99 MONO FOOTING AND SLAB PASS GDR 05/14/9I KW BLDC140 Fr/P1/Mc/Pen Inspection 08/04/99 08/04/99 08/04/99 NOT READY WHEN CALLED FOR. FAIL GDR 08/05/9 KW PERMIT NO.: BLD - MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98684 Shelton 360 427-9670 Belfair 360 275.4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFOFj,MATION Owner e" ,8,A2g!F11,4A1_A Contractor Name Mailing Address Mailing ddress v City "�W6Z-7-,oA/ State#-*X' Zip®Code Cit State,Y Zip Code Phone /U 47-6y// Other Ph w Ph•.3 a .�,,W er Ph...3( 6D )4f 11 t5� f Lien/Title Holder U &11 L� •6 4 ,t/5 Contractor Reg. Z,9,0,3 LS Address .� 9 Ir4AI Al ?1_1114 Expirations_/ .5 SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Y Connect to Sew r System Name of Sewer System Well Water System_,/ Name o Water System &7 T PARCEL INFORMATION-12 digit Tax Parcel No. Fire District Legal Description Site Address(Please include street name, street number and city) / 7 Directions to site x+ G" 0A1 416,417- Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building exl Describe Work —Xi,/J"1zEKE—:4- No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor O 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage 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 8,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 COMMENC D. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents hat the information provided is accurate and grants employees of Mason County access to the above described property and structures for revi ew,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 ordii lance requirements for which this permit is issued and that all work will be done in requirements regulating the work for whit his permit is issued and ill work conformance therewith. No changes shall be made without first obtaining shall be don in conformance therewith. o hanges shall be made` ithout approval. first obt app val. �( %1A �' i E�- Date `-7//,PA97 X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. 4 ;.ARTMEN-11 R .EW 4PPRf�vEpCflNUITlQN G;ODE Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department 1 Fire Marshal it S taco Valuation $ q Z 57$ 1 2 Z .......... . ............... ...... Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee 11,11A 20 : -i�,ae Public Works Review Fee Mechanical & Base Fee 6 S`6A ze-_ Z 2 ,sa Other Wood/Gas/Pellet Stove Fee Other �- F 4.so Violation Fee Pre-Paid at Submittal .;:....::....,::.}::::< :•,••..;:.....}:. .r,.r�.M:i� .�•�{•}:•�:•}•:•:...�'a..•..r.:•::::s..;........�..:: > <f�'•�"� TOTAL FEES •?::::::fi}'.'i::;S:;O}Y•';.;h;::?•M.::t:}••: .•K•']D),.•.Ka�"{i• ,Y x.{+,}'..,}xn x:}�,.?,,.:<tw},.}}y :f:::; •::..:,,;;}3.{:<�}::{{:,,.;.;.}.,•:•.?..,f,:•.' .z•.<;3..}t•'�y.�}h}.i.•R�X. }.,>;;`� :••}';::xs.;,.};;`¢%`•%,:a4':�rti.'??::�k :::{{{;}:G:.}}:v.,.4.:.:•:...'•{}.•:r{.;{•::Y•SRd:Y+Rvh.dKw...44.{{•'X.{U.ii<�Sir •.Ya,:}:.:::':%::•::'::••};{•:.tri.:....:.}::}:•:::.: MASON COUNTY PROJECT SITE INFORMATION Case No.r ,Name Zile: E26 .��V'�� PARCEL NUMBE Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation o the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements .dames of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property lined I - __ _ E-adjacent property li ie �('1mOij� ` ] RiGJ1U/a i� ma/ryb. (At�I OL ,,' ' R► I 1" I -�- 3q l kI r�l adjacent property lined ` <-adjacent property line SAMPLE SITE PLAN adjacent property lined 3zO� _ _ _ f-adjacent property I ne 30' r RF SERVE —'�3�1 SEA CREtK AL �' I HOM tr i GaaEM N O u_sG f iC I. 1 � P-4 6tit 0 C VAANT fi c'ItA[.E 3� I� P0.cP.00 T A&R=L&LTWiAL I 1F-4O—� \ yp• 1 / 1 f/I R.q /00 I I \ I aLL I - ' A /00' —� I adjacent property line4' ; ► \i E-adjacent properi,I ine TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height a d the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE di Sfi�nGA. fie ru..Ltt.�YG cimt'a"Cx- t o 1tJr 510pa -f a dis+ancm Signature Date 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 INFORMATION CONTRACTOR INFORMATION Owner nF �' �`/G�if/� Contractor Name Mailing Address Mailing Address City State,�,O Zip Code City State�— Zip Code Phone �_</ '�-r�f// Other Ph.( ). 3�� 2� Ph. �f 9 _-�,, Other Ph.( Co* 1 Lien/Title Holder r Contractor Reg.# ° .3 Address r 9 Expiration_/�? / SEPTIC INFORMATION-Connect to New Septic Existing Septic__x_Connect to Sewer System Naine of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. ' 1 ,, ZQ-20 Fire District Legal Description Site Address(Please include street name, street number and city) S r Directions to site �' /YG Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt_ Y Repair Other Use of Building 4 5/ Location of Fixtures/Units 1st 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 Fes Bath Basins �- Furnace Bath Tubs 7— Heatpumps Showers Vent Fans Water Heater — Propane Tank Laundry Wsher�- Gas Outlets Sinks 7 Wood/Gas/Pellet Stove Dishwasher / Direct Vent? Other Other /a/,L.5',?2l.6 5 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 COMMENC D. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents hat 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 ordi iance 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 vithout approval. first ob g roval. Date 9 X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. CflNDFE 1 S :.:::::::::::::.::: <::>::::>:<:>::<:::<::>:::�'i##iTMEi+1TAL:R1•wVNiE1tK:: ;A Building <:::C37"NtE#3::::.............................................. .. .A Building Department Occ Group Type Constr. Planning Department Other Other 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