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HomeMy WebLinkAboutBLD92-0245 RES - BLD Permit / Conditions - 4/22/1992 S 0 0 cf) x _ J 00 Oz Ol :7 ,G CD O � cn CD v. 1O Q 0 Q - Ui 00 m G _ r N gp -0 G O.c O<3 o _ 9 ii — fpONI"P9�TE MECHANI AL MOBILE HOME Footings-Setback date 1 3 by Ribbons date r Z by Cr ti Gas Piping date b Foundation Wfalls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors _ Final date by date ,`. s date b FRAMING by y Walls FIRE DEPT. date by , C date b PLUMBING date by OTHER y Groundwork a Attic / date � ll ✓ by , date by D.W.V. WALLBOARD NAILING date by date (ko cE',, //, by Water Line FINAL INSPECTION date by date by date by n If of 5 - __. - BUILDING PERMIT APPLICATION `'DZ� MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER r 1rvLe �..:s V.�: tic IV oz-1cr. (61 R"t, qg i DIRECTIONS -' j. TO JOB SITE vrm 'oat. L7aa }CA A•r R�= r9 © s� aif t+5�� / f�rNJdt fi /� PARCEL p LEGAL (� (` NUMBER �i' 008-77- 00 DESCR. �� � -�� ©T lit 1�� �J�� 1��� � L c'` �� 4. O NAME MAILADDRESS CITY&STATE ZIP v PHONE LICENSE NO. CONTRACTOR ©W:4 e , USE OF BUILDING + CLASS OF NEW __ /� ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ V DESCRIBE WORK Q" �1i. U' r' J, Cn LL';oi• i( ra M l Coo Cie AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE 114&qFt STORIES�_ SHORELINE O CONDITIONING. BASEMENT SgFt BEDROOMS _ PRIMARY RES.® THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR DECKS `I�SgFt BATHROOMS SEASONAL RES.❑ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE_ IS CARPORT/GARAGE GARAGE 7 14 SgFt ATTACHED!DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST APPROVAL FROM THE THERBUILEWITH. N CHANGES A SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. T. �► XOWNER +��j'-� & ,4 X BY DATE� DATE FOR OFFICE USE ONLY APPROVED DEPARTMENT APPROVED BUILDING VALUATION ? �� DEPARTMENT YES No YES NO HEALTH PUBLIC WORKS FEE FIRE MARSHAL BUILDING PERMIT t-.�0 PLANNING ;�J/ D.O.T. BUILDING ( PLAN CHECK ` SPECIAL CONDITIONS BUILDINGGROUP PRE.INSPECTION � �� � � ,� �� },J�, � ��, ro �•�+v'� SHORELINE WOODSTOVE 3 O PLUMBING 2 ,©O FJ .fl MECHANICAL STATE BUILDING FEE APPLICATION ACCEPTED BY PLANS CHECK BY AP V FOR ISSUANCE PERMIT VALIDATION TOTAL g CASH CK MO © sc) PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER r Lvivsl ki,(lo hict ; 19"d 1. t >� v u> ,q 6 , q0� DIRECTIONS �''' �1 /r !1 TOJOB SITE I JT d,uto fs�1d ff�0 r1 firl. C1 I/!W ��� }SST Y 'cFi✓ PI YAW r'kas�s ✓ hil� 7�u/rL �yt It(f Seeegi jr,*ieiv.l N TA-G �✓ ��GtG� 1�. 1`a�l T�i. LE AL 1 ,1 �7 DESCR. �, /�� - v SJrvt >.� IL �� CONTRACTOR NAME MAILADDRE CITY&STATE LICENSE NO. ZIP PHONE USE OF I BUILDING ,yV PLUM ING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE WATER CLOSETS -� FORCED-AIR I GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 a BATH TUBS — BOILER/COMPRESSOR 6.00 SHOWERS 1. REPAIR/ALTERATION 6.00 WATER HEATERS z.- REFRIGERATION COMPRESSOR SYSTEM 6_00 i AUTO.WASHER AIR HANDLING UNITS 7.50 1 SINKS HEAT-PUMPS 6.00 a FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET O� (� DRINKING FOUNTAINS VENT.FAN SYS,3.00 PER UNIT d LAUNDRY TRAYS FIRE SUPPRESSION 5.00 Q CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER �— o DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL TOTAL SPECIAL CONDITIONS: _— NOTICE; THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM T BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER ' DATE X BY DATE FOR OFFICE USE ONLY '�PLICATION ACCEPTED BY PLANS CHECK BY NG GROUP R�FSUANCE PERMITVALIDATION rn ByCASH CK MO BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED _ PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER Lv 11n DIRECTIONS �"' 1 (^ f TO JOB SITE %�. �l It' `� c, i.W t ;t>'T !" cT ` cri 4-r,IZe c� (v=r.Y 5 L d 4.4 k 1l ge Ao-- �i/t fiiwd d!. PARCEL LEGAL r _ NUMBER ,' '� -( tJi:t DESCR. Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations. O Location of proposed construction on property. O Building& septic system setback distances from all property lines& easements.. Indicate North O Well and water line. In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage. O Attach copy of septic system as built or septic permit approval. O Indicate topography profile of property and structure on reverse side. ,1 0` �+t 00 M k � o v � 33 .::k1 i certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED _ riICT ;)A-r= BUILDING I . ,1MIT PLAT PLAN MASON COUNTY DEPARTMENT of (GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NA A50RESS C-17YA STATE zip PHONE OWNER 9 ! ) ^<,-� 1 Pam Henni 66 Dearborn Shelton UfA f� f' � ( ?OF �L,: � 7 DIRECTIONS TO JOB SITE From Shelton drive N. on Hwy t Ot ,Past airport .Turn left on the Ratan Airrort Rd . Drive `im.to Dayton !Trails-on ripht .Up to top of dill-lrft PARCEL LEGAL. NUMBER DESCR. i Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and d,ainfield setback distances from foundations. rl O Location of proposed construction on property. T O Building & septic system setback distances from all property lines& easements. Indicate North O Well and water line. O Saltwater, lakes, rivers, streams,wetlands, drainage. In Circle O Attach copy of septic system "as built" or septic permit approval. O Indicate topography profile of property and structure on reverse side. U� j'<: F L 11 i I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE 00 Nor WRITE BELOW W THIS LINF 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY ---SINGLE FAMILY RESIDENTIAL APPLICATION -__-, Site Address Parcel # Lot Subdivision [ ]New Residence [ ]Addition [ ]Remodel Area (sq. ft.): 1 st Story 2nd Story Basement Compliance Method [ ]Prescriptive -- Indicate option (see attached sheet) [ JI [ JII [ jIII [ ]IV [ Iv [ jVI [ ]VII ( ]VIII [ ]Component-- Attach documentation and calculations [ ]Systems Analysis -- Attach documentation and calculations Heat System [ ]Electric (Electric Resistance) [ ]Forced Air [ ]Wall Heater [ ]Other [ ]Baseboard [ ]Radiant Make Model Size (KW) [ ]Other [ ]Gas Furnace [ ]Oil Furnace [)(],Heat Pump [ ]Other (indict.) Make _Gv.rf` Model 35` Kiso3ci Size (BTU) Tin/ AFUE HSPF Ventilation System ( ]Non-Heat Recovery Ventilation [ ]Spot and Whole House [ ]Central Ducted ( ]Integrated with Furnace Whole House Fan: Make Model Size (CFM) [ ]Heat Recovery Ventilation [ ]Air to Air Heat Exchanger [ ]Heat Recovery Heat Pump Make Model Size Attach 1) Window Schedule 2) Heat Loss Calculations Radon A three-month etched track radon monitor will be provided (by builder). ACKNOWLEDGE: (butWefs signature) MASON COUNTY BUILDING DEPARTMENT WINDOW SCHEDULE —_ ---- WINDOWS (group same size windows on one line) How Model Area (Sq. Ft. U-Value Man Size Brand t t"J t n c TOTAL WINDOW AREA ------ (A) SKYLIGHTS How Brand Model U-Value Many Size Area (Sq. Ft.) ,'der i✓ TOTAL SKYLIGHT AREA TOTAL GLAZING AREA (add A+B) (C) DOORS (from heated space to unheated space) How Brand Model U-Value Man Size Area S . Ft. TOTAL DOOR AREA