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Home My WebLink AboutBLD95-00438 Duplex B TPN42001-44-90001 - BLD Permit / Conditions - 12/18/1997 7-7 71 71 CD ix ZE S Ti Z S z V _r 771 z z 17- Z 7 Z 77 Z6 o 77 41- 00 of zr Z '77 z z Z-1 cn N) 7-Z (> 10 Q- :J 00 C) 01 00 s m S Z� 77 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by -Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by 17 T 7 OD 0 ol :37 cn Z.11 o c 11 cn co pQ 008 O (� 0 � ol z (Dw n 0 � = C Q � z zr � -� Q O n :3 (D ,0 D- O, 00 > 7.; < >> --I z 7 Z- z z > 41 Z� 1:11 z 7 > Cf) > 00 C: 77Z Cl) > -D z zz- a 7 z T -7 100- OC) 0 -Mzl�-, z CTI 00 77 > --7 r-Z", Permit No. �� MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-5621 28 PLEASE PRINTAll-4-?- #1 w )G��1 ' al Phone# to Address e 1� -D r�t V E a Fire District# it St [.il t Zip Directions to Job Site "l - ' 'Al Owner Mailing Address l .* !�/>4 ce City :5 h1" /rOA/ St fit!/ - Zip gsg Lien/Title Holder IVOAJ .- Address City St #2 Contractor Name L fGd,f-E Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic?__)� _Public Water Supply Well Connect to Sewer System? Name of System (If resi ntial, proof of potable water is required) 'OL9 L gal Description Section 1, Twnshp 20 North Range 4 West W.M lying est of Correction plat of Is and Lake Shorelands and North of Island Lake Road. #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI n/a / 3rd FI n/a / Loft / Basement n/a / Deck n/a / #bedrooms / 4 #bathrooms /mil. _ Garage /d Carport / (Circl -Aff aic--h4q or Detached?) Other sq. ft. / Will use Stock duplex plan (same as Bldg Permit 95-0002 , dated 1-26-95) #6 Use of building IN Describe work K C— � #7 Type of Job: New j_�Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model MAR 3 1 1995 Length Width Serial No. GENERAL SERVICES # Bedrooms # Bathrooms Type of Heat Purchase Price$ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: �� n River Pond Creek Stream Wetlanil Lake Marsh Saltwater Seasonal Runoff Other /� Show following on the site plan ' Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements y , , E, W Indicate Directional b N S Name of Flanking Street ) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: BLD95-0438 DAVID BAYLEY E885 ISLAND LAKE DR SHELTON 07/25/97 1) Buffer & Landscaping Requirements -- This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036. X 2) Buffer & Landscaping Requirements -- This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036. X 3) Site Plan -- Approved per dimensions and setbacks on submitted site plan. X 4) Parking -- Parking shall be sufficient for 4 normal parking stalls (9 feet by 20 feet) with sufficient maneuvering aisles. Screening from adjacent residential properties is required. X 5) Flammable & Combustible Liquids -- The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 6) Aquifer Title Notification -- The applicant has submitted recorded Title Notification for Aquifer Recharge Area to Dept. of Community Development. X 7) Sideyard Setback -- Proposed structure or any portion thereof greater than 30" in height from grade Line, must maintain a minimum of 5' setback from all property lines, easements and 10, from all County and State Road right of ways. X 8) Structure Setback -- Proposed structure or portions thereof with an projection over 30" in height from grade line, must maintain a 5' separation distance between adjacent structures and that furthest projection. X Plumbing Fixtures ($3 eacbj Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other qBath Tubs No. Units Fees Showers Furn BTU ?Hot Water Htr _ Heatpumps c Laundry Washer _ Vent Systems Sinks Spot Vent Fans _Floor Drains No. Boilers/Com rep ssors _Laundry Basins HP "LDishwasher No. Air Handling Units _Disposal _ cfm# Urinals No. Fire Protection Systems Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00 TOTAL PLUMBING No. Other Gas Outlets Wood, as ellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDINGYFPARTMENT. DEPARTMENT. X OWNE C`% X BY DATE DATE FOR OFFICIAL USE ONLY:Accepted by: Date: �� DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: �l Environmental Health: Building Plan Review W LL Occupancy Group:..93WC Type of Const: S t1 Fire Marshal: Other: Special Conditions: FEES Z to oo R-3 Building Permit �o`�-`� Plan Check 5-ro C, Plumbing Fee Mechanical Fee � Z r Wood/Gas/Pellet Stove fo`_ 06 Radon Monitor Violation Fee Site Inspection Building State Fee ear, e O Other ENV- Other Building Valuation: Zo TOTAL FEE , DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: 'c Building Plan Review 5 (-PN W I to A 7 W L W�- to-7 Occupancy Group Type of Const: TN Fire Marshal: 1\�1 Other: Special Conditions: FEES 2t000 X `f 6 = 119 6 DO Building Permit 4�eo fZ 6 Plan Check �t7.gD Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove G. 00 Radon Monitor Violation Fee Site Inspection Building State Fee ,y*o 2 c�,00 Other 00 Other Building Valuation: 32 O2o TOTAL FEE r Plumbing Fixtures ($3 each) Fee Mechanical Fixtures (,$6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers Z Furn BTU _Hot Water Htr Heatpumps —21 Laundry Washer _ Vent Systems Sinks Spot Vent Fans 'Sy'00 Floor Drains No. Boilers/Compressors _Laundry Basins _ HP Dishwasher No. Air Handling Units _Disposal _ cfm# Urinals No. Fire Protection Systems Other Auto. Fire Alarm Sys 50.011 22-x 3.35 = 73.70 Fixed Fire Supp. Sys 50.011 1 75— Permit Basic Fee �6:� _ Auto Fire Sprink Sys 25.0 TOTAL PLUMBING $?0. S NQ Other 2- Gas Outlets Wood, (91Pellet Stove 6' P-p f AtJ E �R/k t NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee WORK IS SUSPENDED OR ABANDONED FOR A PERIOD 25 OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ !1 MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVA FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDINGPEPARTMENT. DEPARTMENT. X OWNER X BY DATE /9� DATE Acce DFORO Ol ate: & ` ...