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HomeMy WebLinkAboutBLD2006-01652 SFR - BLD Permit / Conditions - 12/28/2006 Z -0 W { o ° M 0 nW � � Cnrr � 0 not m < (nm vvr. 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By Exterior-Date Set-up eror !//; N) INSULATION 0Daw 13Y 0 Point Load/Isolated Footing& BG I SLAB INSULATION -- 0 Date By Date By FIRE DEPARTMENT >G) Foundation Walls Floors Date By X Date By Date By DECKS FRAMING walls, Date By Data 7)J)l By PROPANETANKS Date By Vault Date By PLUMBING Date By OTHER Groundwo* Attic Typw- Date By Date By Date tly 4-1 Loo DRYWALL ek, Int Brace Wall Date By Date 4 -7 By Oat". By FINAL INSPECTION Water Lin Fire Seporwatik;lm� CD 9 o/8--f By W CD Data CD Date 51c) BY Date 1 6 Pass or Request Inspect. 0 Done By Comments CY) Type of Insp. Fail Date Date C', CD 1-0'7 F3 iA43 o (4 -7- 8 !gfj cn LZV- 61W 0 61(�,j MASON COUNTY PERMIT NO. 5 - BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton,,WA 98584 l Shelton (360) 427-9670 • Belfair (360) 275-4467 � Elma (360) 482-5269 ' On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR IN F ATION Owner Company N me Mailin Addre ` r Mailing Addr ss JO Q �sr 7 64+ City State�Zip Code City State _ Zip Code o-?'�9 I � Phone 2 Other Ph. 20 Phone ' — e Holder Al n kOther Ph Contractor g. . '"'©/ Exp. Lien/Title E Mail Addr s E mail address DOB Drivers Lic. # DOB Drivers Lic. SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic_ Existing Septic Connect to Water System Name of Water System Well `a' Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. N Fire District — Legal Description Site Address (Please include street name, street number and city) - s r 41 lip tin V" Directions to site H o r i Will timber be cut and sold in parcel preparation?Yds/ Is property within 200' of Saltwater n O Lake River/Creek Pond Wetland , ,q ` Seasonal Runoff—Stream_r"t t Slopes or B ffs 15% Is this permit submittal the result of a Stop Work Notice,Correction Notr a or other enforcement action?Yes o TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE` SEASONAL ❑ Use of Building escribe Work, o / D IT No. of Bedroom No. of BathroomssQIT-Square Foota e- 1st Floor i y y l7 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make 0 tCk Model Year Length Width Serial No. No. of edrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit? Yes/ No Installer Name C rtification No. OWNER/BUILDER Acknowledges submission of inaccurate information may result i a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners I gal representative,or the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the applicati . I declare that I have obtained the permission from all the necessary parties. If permission is required from any easement holder or any oche arty in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this per' if and conduct the work proposed. The owner or agent on owners behalf, represents that the information provided is accurate and gran s employees of Mason County access to the above it/application becomes null &void if work or authorized construction is described property and structure for review and inspection. This perm not commenced within 180 days or if construction work is suspended for a period of 18 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF,A.�PROGRESS INSPECTION.INACTIVITYOF THIS PERMIT APPLICATION F 180 DAYS WILL INVALIDATE THE APPLICATION. X / � �. _d"rw�ey�' . .,C "�� Date: Owner/Owners Representative ntractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Acce ted by: Date JA DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planninq Department Environmental Health Department Fire Marshal FEES Building Permit Fee / Site Ins lotion Plan Review Fee — Sao . 3�1 EH RevieNLFee Plumbing & Base Fee o{ f I Plannin Review Fee Mechanical & Base fee Other Wood /Gas/ PeEEL State Fe Violation Fee Pre-Paid at Submittal O D Valuation $ TOTAL ES 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 OwPerCANT INFORMATION CompanAy NaOR INFQRMATIOIrV, 1 "a t? z ,i 1 '!"� riQ r- arr rl 43 Ab Mailing Address n _ Mailing Address-la - i 9St x City tP State Zip Code '� City State- -- Zip Code 4eS�'kr Phone Other Ph. iQ' Phone- - Other Ph. ` Lien/Title Holder Contractor R6g. " —Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Sept i Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description 1 Site Address (Please include s reet name, street number and city) Directions to site Y ' f `� ' `' 1", I E �as;� � A..t 4 Is property within 200'of Saltwater Lake River/Creek 4� Pond Wetland Seasonal Runoff Stream ' ' Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units - 1 st Floor -.12nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANIC;L S Type of Fixture No. of Fixtures Fees Fuel Type:Elri PCz_ Natural Gas Heat Pu Toilets Type of nit No. of Units Fees Bathroom Sink — Furnace Bath Tubs Heatpumps_j 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 Gdu�� � Other Base Fee Base Fee 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 parry 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: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld 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 .�� rlt-Foie'INGRes&,ass, � FouNa e C.?RAk46E Alb UTN-177E8,ING UDMG e h v 'FREYIQL •ii9ldJ-ARGtlWp,CF'RIYA7);I:^� . \ � •r •! � �.� REBAR RAJA'3/. oizi-b� PA aCEL TACK P B Q PAR.4. L'l.N°�\�e� 2.95 AG 1 2.97 AG. REDAlq NO �, '0�^WELD ^FFD POSITION' FbAfRCXLrye . .41L S_ ae 2�0. 7 i!Yd / •sue, F U.0 59, Csf2Era4I � AO \ 459 AC, . 1 3.INGLUPMG yeaNc �!' P4RC�L. 'r." ^b. s\ NtT W rn"2k . . \ '9TRP.,AM +*— ` 3m 04 e1 004 E.' Olt `i "ot .• �� �•ALD LM ' UeTLANVS, � - •. o• ,ApPRr7?4 i i m �Dls�'.Cl= • E y n It•40.04 E , U:IETLANDB,AMOROX © . REj3 41q No ?14,0 AC..I o4D'LrNE u+ CsSP` n Y•.' w C5. 01-D LINE S ' a D�T�41 IRON 1'IP as Sl{pU� ON BURvFY R1'LoYl i «man:-...«. .-.». ... i 3 I I O tF mrc W b.Rr t { LA �- 0 PRVL TOPOGKAPHY PROFILE: Deals .. °a . Direction: Scale: Approval: for office use Building Permit number: / Building: Owner/Applicant:�� '?e �7rC Date of Planning: _��,. coo j� application: Env. Health: Parcel Number: tU — . APR-30-2007(MON) 12: 47 MC Squared, Inc. (FAX)360 352 2044 P. 002/002 MC SQUARED, INC. Job: OLYMPIA,WASHINGTON 99506 Date: 4-1 v{c77 By. (360)754-9339 FAX(360)352-2044 Shret; Purr of } „ Qo..tcrK`C., r.+rt' o 'G Off^.zC O pr4+- i�GwiN1 r .'rov�.►O j,r•rc�.J -�7 '�N�., flO D,I I ' ' �"��SS•ML �1-faOWn+1 � Uut�f4 'F-�'C�,��1�1'w�.. 1Sy.� L�--�L1.JNL `T-r++c�aor • �...� 1\�1�-L� lavt.a. I II»�' ;b�-`j. : �j � �Q��.!�.i^�') 'i A. � s'I�j�� . • . I ri V•h' �'{ •, I\`y �•5''�SI �' �o'(�w��GP.�L /ten _-C Ik{�. M 4 .►!'� r'1 'iV .... w w.7 I►S I ' �' _ ,. .....v� A N y h-� � ?Jr 4'• . I !'.CI'�� I4wt+sae. �y. _. ! pp'...T«.,I� I -'►• I I G°°w-. v� i1'I -I N'��'..,. j p tz.c I..�G u ; 1 .IOn�'_.��'G '�v_D. j 1•�, DU,�� --,Gnr,J'iJPT SH�� T�, �p'�-T !- I -_'_.. q' 2M0 j 12 M I + I i i I � � I ' i 1 I_ I �__' I�.1�'�I'.•�:7�."1�•�li � ..I I I I i 1. ' I ' I � I 1 y f . I •" • --'-..I__.-�-.._I_._ � -�-- I �._ .I. I I I .. I I_ I I ._�.- __�.... _ i I ! I I _I i I i I I I i I I ! I I 4. I MASON COUNTY DEPARTMENT OF HEALTH SERVICES October 10, 2006 PO BOX 1666 Shelton WA 98584 Shelton (360)427-9670 Fax (360)427-8442 RODGAR GARRICK Elma (360) 482-5269 3963 W DAYTON AIRPORT RD SHELTON WA 98584 Belfair (360) 275-4467 Case No.: BLD2006-01652 Parcel No.:420087500061 Dear Applicant: Your building permit cannot be approved by Mason County Environmental Health until the following are completed and turned in: 11 Water bacteriological analysis. 13 Well Log Please call me at(360)427-9670, ext. 279 if you have any questions. Sincerely, Amanda Reynolds Environmental Health Mason County Health Services Comments: 10/10/2006 1 of 1 BLD2006-01652