HomeMy WebLinkAboutBLD92-1431 res - BLD Permit / Conditions - 3/8/1993 c
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback
date � ��-( �� by Ribbons
to �I ! by Gas Piping date b
Foundation al date
date by by Set Up
BG/SLAB Insulation INSULATION date by
date b Floors Final
FRAMING
y date by date by
date �'f�4I ` by Walls _ I FIRE DEPT.
PLUMBING date date by
Groundwork / Attic OTHER
date by date by
D.W.V. WALLBOARD NAILING
date by date I `c/) ?A by /,.O:
Water Line FINAL INSPECTION
date by date /,�j`/i3 by fyj. date
/ / 7 by
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MASCK COa19T7
BUILDING PERMIT APPLICATION
PLEASE PRINT
q(e
#1 Owner TuTr,T,-r,*, !-, gr 'Phone# 2o6-1:�26-4612
Site Address
()7T
t.r ask zin
Direct:ors to Job Site D "20
U '17-1'1�1 1 -1
-11 -171177lik
;;TRXL
Owner Mail-4 -g Add---ass-?Q3
City -- S�Z ITUT,111
ffk=/Title Eolder I'lX11 ,,ILLI,UIIL
Address ,,,,B t, 2h
Cit 7:,-
St
#2 Contractor Name -
n Cant-
-actor Req# ;� �1;,: 8
r Zxmix-acion date 1 0
City Phone
#3 If septic is located an project site, include records.
Connect to Septic? Public Water Supply_ Welt
(11 residential, proof of potable water may be required)
#4 Parcel. No. 0 il
Legal. Description
#5 Building Square L7,00tage: (ex mti=q/pr=pcsed)
Ist ?I-, &i-r? 3rd ?I Loft -
gd�5�"c" 2nd v.'I .A
Basement Oeck-A 5�- . ftedroonts #bar-*I==
Garage Carport - Z (Circlet Att � or Detac.LLd?)
Other sq ft
tTze of buildl=S_�J&Lf k A3ezc=-ibe work ..
r
#7 Type of Job: Newk_� Add Alt_ Repaix�_ Demolition_
WcCdstove_ Re-Roof_ Bulkhead_ Other
#8
Model Year Make ------. Model
Length--_ Width— Sera No. --
#Bedr acm-a #Bathrooms Type of Eeat
" A[b Any water an or adjacent to prome=y: saltvacer lake
52 ?3C ) Gov
`IenT � moo
Bat 3asi:s -�� �ysz.�Is X 3 . 00
` Fans X 3 . 00 sue=0- 3
�Shcwe;s --� No- 3oiless/Compressors "
Blau.:d—r waste 3 -L5
? • 0
Si:.ks 15-30 ;P
=7 coy bra=:s 30-SO ap r
ib r�u--,-..zd=� 3as is s 50 +
-�-
-- No. Air 3aa '—'!=g
D ishwasizer � '
D .smcsal --.�_ ''-0000 cam_ _
IIr=r.a's
10000 cam_ -
C they Other
�`vaa Ccolers
Pe=--st Basic Fee 3 .og
_Hccds
TOTAL PT �� moire Suzmression
.,,ITM9�TG .
—Danes. InC-;
Coaxal. Lac:n.
Mec�4m"4 c�T �; Zee Relcc/Repair �Qp
No . Fuel Types, Gas Outlets X 2 .00
--..7u < 2.00R BTU Wvodstcve Qe'aarat�
Fu_= ?- 100R HTV � Other
--.6. 00
=Beat Ptlmns �' Permit Basic Fee
TOTAL xzczu==
SECp-MS MML".
AIITEOPu z: :S NCT =ftq ' c= D Vc= ZF WORK OR CONS-=r 'I'ION
IS SUSP�1'VDID OP- 180 DAYS. OR CANSTRIIC+'ION OR WORR
ms
CAMMR,N® ABANDONED ?OR A PLOD OF 1.80 DAYS AT AFTS.� WORD
�s �Frzzvr�
1 CUTIFf TMAT t AM 1000IT FRa r" RlQJI1(l9r S Qt
Tic
C3mTRAcrmS RECISTRATTOM t_Aw RCL 1E_27 , Am AM Au"L -1 CUTIFT THAT t AM A aMMEMY Rff.ISTOM CMTR41,-f=
Of r" MASat C12Arr OWNAAa eeWIRe/p(TS FM wlJa Ilr rN STATE CV WLSXIJIGTOA A/O t AM AM",! ap r"
rWIS PERMIT IS ISSUED Amo rMAT ALL WORK �Il[A11(E R>EJiJIRE11E1r12 CEQXATTMC TWE wWj( FAR WICU
ON�a rNERELITM. SMALL.
u(Be A IE rW PMIT tS tsstJED AND
"O C11AM1aFS SJRALL Be wiof ALL �1C tJORE WILL st Itl
U31AR IT FIRST mTA(JI(MG AY*+lQyAl FRd r" BUILD11G TME]REY(Tt(. MO QArGES SMALL Sf MADE
�'MRTMp1T. YITIA fIR3T OtTAIXING AP"AI FRQI rXj! BUICOING
�l DEP�ul1l4JIT.
IIA+s GZ
426 W ce
Cedesp--`-t to : Depar--eat o� General Ser43Ces
/p-o- Box 186, Sheltaa, WA 98584 427-9670/1-800-562-5628
��R aPFCT.At. �5� ONZY: accepted by
Dace
Show following on the site plan
I Lac Dimensions N4 Flood Zones
Ex iscing S t-ucora es ko Fences
S t_sc: ire Sec-tacks % Driveways
Water Lines N0Shorelines
Drainage Plan /O Topog.aDhy
Seacic Systems YSLS Wei s
P,-=osed Imarcvemen=s fs Easements
Name of Flanking St_=eet Scale:
Name of Fronting St_—eec Date:
PLZ.C3NT TO DRAW SSTs PLAN BELO
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PLICANT TO DRAW TOPOG WrX FROFIL i
i
Ltxr-XKliviENT , REVIEW
Fait OFncz =g 0LY
Acorawd Cond "Hold
APArov4i
1 1
Piaa"-,
�vf.roa�eatal Heal the ,f
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��� Nm;J-1 I
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BUll.dj=q plan $eview.
Occynancy Group
Pire bsa:sh.all:
Other:
IlScecial Conditiorts:
l! II Pita Znspec�ian ---T- ---�3
Il II 11Builaiaq pez�.i.t 1 .
If II Ilviolati= Fee I I!
I! II
II Il UViolacioa Zavest-gati oa Fee ( II
fl II
q I' q Plan deck i `5B — II
II II IIPlumbing Fee
II II UM-ecranica.L Fee
II l
II I( ,lwacdstove Fee I if
II f 1
I 11 IlBui_ding Stace. Fee
IIHu_i a�:g valuacjon:
IG�. Il
Project:
t WINDOW SCHEDULE cf` olD
`WINDOWS
MODEL "/(OPER) U-VALU QUANt. %Ze ,4 r4 (Sa FT.)
N L. e _ 4a3
TOTAL WINDOW AREA S2
SKYLIGHTS
__BRAND MODEL 0/(O E ) U-VALUE QUANT. SIZE AREA (sQ. tJ
.4c) 4 z4D4(-:) �
TOTAL SKYLIGHT AREA �-
DOORS
B ND MODEL "/(OPER) U-VALUE WANT. SIZE AREA (SQ. Ft.)
TOTAL POOR AREA '40-
1
Framing Crew
4 Figure 3J Ridge Vt
METHODS FOR BAFFLING AT EAVES If you u
framer typica
and pinning I
If you u
for cutting th
side of the pe
INSULATION BAFFLE dimensions o
Figure c
SCREENED VENT
MAINTAIN REQUIRED
NET FREE AREA Figure 3K
DETAIL FOF
BAFFLE REQUIRED ONLY
IF INSULATION IS THICKER
THAN BLOCKING.
MAINTAIN REQUIRED
NET FREE AREA
Jo BLOCKING BETWEEN
TRUSSES
MAINTAIN MINA
AIR SPACE RE
BY VENT MAN
SCREENED VENT
CfVJ_ni�
I lJ
40
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WASHINGTON Attachment B
FNETRGY Building Record W%0C bed#
RMRAM
���'�,n...�.,.,M..a�.a•�x..,x.x,.�>.��z...R�Re&,..�,YR��b��'�.��� ��' .g '
(please check one) (please the k one)
❑New Building ❑Addition over 500 sq.ft. ❑Single Family ❑Duplex
Jurisdiction: / 4,14-5-0 n/ ❑multifamily ❑Zero Lot Line Home
❑Plann d Unit Development
please check one: ❑ City "E�County Permit#
File ID#(if different from Permit#)
a......�.'M�c�s��1Po'�'...aanr�;.��;;zy;.$R�,;��Md,,�;�.. �.�;���,>.: h"' •.`E's'.�•a
A. Site Information B. Owner Information
Address t /0 l tot) .7Ya/lol�� Owner (ownerat time of construction receives utilrtypayment)
C,i ,..
EQ .
City e cif K° !� s Zip 1r5 Com an e f e i sc��� .�st
Assessor's Property Tax# (or attach legal description): Address 4F ! qi 7 /
�fOC,BZ Cit s St to 1A Zip
Servicing Electric Utility PVD4" Phone
C. If Single Family,Zero Lot Line or D. Duplex E. If Multifamily(R-1)
Planned Unit Development First Duplex Unit sq. ft. Total#of Buildings
Total Conditioned Floor Area sq. ft. Second Duplex Unit sq. ft. Total#of Units
A. Primary Space Heat Type B. Secondary Space Heat Type C. Water H 1 t Type
(check one) (check all that apply)
❑ Electric Baseboard ❑ None ❑ Electric
Electric Wall Heater ❑ Wood ❑ Gas
❑ Electric Furnace ❑ Electric Baseboard ❑ Other (specify below)
❑ Electric Heat Pump ❑ Other (specify below)
❑ Other
(tor Heat Pump Only)
WSEC Compliance Method This building meets the
Date of Permit Application
❑ Prescriptive Path ❑ electric Date B' Iding Permit Issued
El Component Performance ❑ other fuels Date o l ns Inspection
Date o innal Inspection `3
El System Analysis requirements of the WSEC. o _ N
I hereby certify that this building or addition has been Inspected for the measures required
by the 1991 Washington State Energy Code(WSEC), that it is in substantial compliance
with the WSEC, and that the WSEC checklist for this building is on file.
signatufe of Building Official or Authorized Representative Date
Return canary copy to the servicing electric utility to trigger WSEC compliance payment
Return white copy to: Kathleen Skaar,Washington State Energy Office, P.O. Box 43165,Olympia,WA 98504-3165
WSEO- White Copy Utility/Owner-Canary Copy Jurisdiction-Pink Copy
12-92
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CERTIFICATE OF RESIDENTIAL USE
N,,, I V F=Lo hereby acknowledge, that the ;eI. gee located on
Mason County Assessor's Parcel Number - 77— Z.Cn gZ has no more
than _bedrooms.
I understand that my on-site sewage disposal system was designed and my building
permit was issued on the basis of this number of bedrooms, and use of additional
rooms in the residence as bedrooms could result in overload and premature failure
of my on-site sewage disposal system. Furthermore, I understand that usage of
additional rooms in the residence as bedrooms could result in Mason County taking
steps to cause the vacation of said premises.
Prior to remodeling or replacement of said residence, I agree to obtain the
appropriate permits for expanding my on-site sewage disposal system.
DATED this day of f't d(��r 1992.
Lega:�10wner of Property
On this day personally appeared before me Carlene M Berglund to me known
to be the individual described in and who executed the within and foregoing
instrument, and acknowledged that William M Neal III , signed the same as
William M Neal III , free and voluntary act and deed, for the uses and
purposed therein mentioned.
GIVEN under my hand and official seal this 29 day of April 1994 -_
n
j -- tary Public
p,A�,r' _ . . = March 7 1994
}6 Y �'. Expiration Date
9? ,`; �- t `_ County residing in Mason