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Home My WebLink AboutBLD93-1023 RES - BLD Permit / Conditions - 4/25/1994 R � r" V W O If 1\ O D /X W O O 0, � z C� o 0 Q � c z �- 0 ® (� :3 (D 100- � � 00 CONCRETE MECHANICAL MOBILE HOME « Footings-Setback X frt �' date �L �'' '�' by Ribbons date by Gas Piping date by Foundati ails date by Set Up date S 11"Y' by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING [, Walls FIRE DEPT. date C'et-1 by z:- date by date by PLUM13ING OTHER Groundwork Attic date by date by D.W.V.// WALLBOARD AILI G -� A date 10` 36 �� by � date 1 -1�� by Water Line FINAL INSPECTION date '3 6 by � date by `.: date by `r .y2� / r - •9-Pi�,evyE� -l7 OQ 0 X n OD oO ol : z ° � O � = C Q N z � 0, on 00 0 0 � 00 N Permit No. MASON COUNTY BUILDING PERMIT APPLICATION PLEASE PRINT � lb*� i i' #1 Owner.iidn a } Linfaaret �► 'tz )C Phone# %� �U41 Site Address', . Lunt 6vAe Cfo Fire District # City 6AI-1+0I'1 U St W-A Zip g85a Directions to Job Site Dul 101 to 16W hDn I' 2.-15 UAL +. f d Owner Mailing Address 1G?�44 ..drek,t.tX.Y& City St CA Zip (336 Lien/Title Holder -f�,, Address City St Zip #2 Contractor Name --Adn%f [ipu&g) Contractor Reg# 74, P- 2- cr bP Address_�3�;b3 3' . �Vf'� ' Expiration date_( /3l /mil city nitjua,C St Zip gSA,)`-qfiVhone z3�Ja -�(o4'-f #3 If septic is located on project site, include records. Connect to Septic? v', Public Water Supply L Well (If residential, proof of potable water is required) #4 Parcel No. _ ' )oog ---"77 - gat �- L al Description h2t7 G "ir tz (utc of -I- c PC /4 of Ica �E sp 36i�f, P. �-�� w,►.t. Uu 19 #5 Building Square Foot$ge: 1st F11 2nd Fl 3rd F1 Loft Basement Deck #bedrooms_ #bathrooms c�1 Garage-!-I Carport Garage/Carport: ttache�d or Detached Other #6 Use. of building_ 6r P- Describe work c '� Cf cc 5r� ` #7 Type of Job: New V Add Alt Repair Demolition Re-Roof Bulkhead Other #S MOBILE HOME INFORMATION Model Year Make Model Length Width Serial No. #Bedrooms #Bathrooms Type of Heat #9 Any water on or adjacent to property: saltwater lake river pond wetland seasonal runoff other Plumbing Fixtures Fg�, Mechanical Fixtures No. 4. Toilets Primary Heat Source (circte tym) Bath Basins a t'/heatpump/other J.Bath Tubs Showers NO. FEE Hot Water Htr — Furn Laundry Washer _ Heat Pumps Sinks Vent Sys (Central) Floor Drains Vent Fans (Spot/Whole) Laundry Basins Boilers/Compressors Jq:'L� Dishwasher Hp Disposal Air Handling Unit Urinals cfm. Other Fire Protection Systems Permit Basic Fee ICJ TOTAL PLUMBING $ Other Gas Outlets.Hookups Wood/Pellet/Gas Stove Other Permit Basic Fee 15 TOTAL MECHANICAL 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 ANYTIME AFTER WORK IS COMMENCED OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT i AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT 1 AM A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER X BY DATE DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Boa 186, Shelton, NA 98584 427-9670/1-800-562-5628 R Get # '' DttE3....... : .. : . MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location ev This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance 77///-5 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK V§' all for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department &4111011'�- Date r Inspector DO NOT REMOVE THIS TAG MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location /&) / Vieux)z y id z.3 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance -- /1/0 ins 1 W. V Laces ,c L �ia�OlJfJ You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK II] Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OKto Department WQ)) I ti Date _ Inspector DO Nt)T REMOVE THIS TAG Building Permit # �� QZ MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location � - oel'VA-v C<::;�,n4z,12`4 lef 777/1::�&� U- This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed belo must��orrected to gain code compliance 0'0f eSS No f }has i 11 5r"e cx) -sT euc7u4CAX s � / /I � 9 ��. ,� s You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department Date 3 yG_ Inspector .> DO NOT REMOVE THIS TACK WASHNIFEGT3N SW ttac ENERGY Building Record WSEO Contract# 91-19-�e nt B CODE PROGRAM For Site-Built Residential Buildings Heated by Electric Resistance or Heat Pumps ................... ............................. ...... ....... ...... ... ..........- ..... .. ............ ...... ......... .......... ................ ........................ ................ .................... .......... ease check one) (epase check one) ,New Building L1 Addition over 500 sq. ft. Single Family El Duplex Jurisdiction:uriction: 44,4; ,� El Multifamily El Zero Lot Line Home El Planned Unit Development + please check one: L1 City VCounty Permit# —10aj File I D# (if different from Permit#) + _X. ............... ......... .X ---------- ................................... .................... ...... ................... ............ .... .. .. .... ..... A. Site Information B. Owner Information Address a) . 6_1 000,-7/7-0,5 jeYe Cl— Owner Lownerat firne of construction receives u payment) I City ��IhM zip qe5-e�4 Company Assessor's Property Tax# or attach le description): Address /9 .11/4 AfMa)0,:� 4 ,300,Y -77 01"3 City R e��e,-,xl 6Z,_ State&,�q Zip Servicing Electric ?iit ,;Z- Phone 1360 ) `3 `57,2 - AL2 C. If Single Family,Zero Lot Line or D. Duplex E.If Multifamily(R-1) Planned Unit Development First Duplex Unit sq.ft. Total#/Bldqs. Total Conditioned Floor Area 1AIR sq. ft. Second Duplex Unit sq. ft. Total #/Units ... .. .................. ............... ........ ......................... . ..... ............ ........................................ ......................... ..... ... ............ ......... x. . ............%.......... ........................ A. Primary Space Heat Type B. Secondary Space Heat Type C. Water Heat Type (check one) (check all that apply) (check one) El Electric Baseboard None Electric Electric Wall Heater Wood Gas El Electric Furnace ❑ Electric Baseboard ❑ Other (specify below) El Electric Heat Pump E] Other (specify below) El Other ............ ................ ............. ........ V .. ........... ---. . . . ...................... ........... ......... y ........... ................................WSEC Compliance Method For Heat Pump Only: Date of Permit Application L1 Prescriptive Path Built to the Electric� ( g �,omponent Performance Requirements of WSEC? Date Buildin Permit Issued 'System Analysis D Yes 0 No (If yes, Date of Insulation lnspection�— 4�/ utility may offer incentive.) Date of Final Inspection 7 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 th WSEC checklist for this building is on file. Sign re f Building Official or Authorized Representative Date • Building Department:Return white copy to Gail Burris,Washington State Energy Office, P.O.Box 43165,Olympia,WA 98504-3165. • Owner or Building Deparment: Forward canary copy to the servicing electric utility to trigger WSEC compliance payment. 0 Building Department: Retain pink copy for jurisdiction's building file. WSEO#94-015 =4 _ r0 HL , S w:,no tj i�l�--�.._-_�.Q==---Vz_:i fi��:'J-�cr�w=,�c .s• �:x.;::v.._-,=:,•-,�.r_r. :,h.r-, _ ....�,F, I �t�t tqf �rWj I I �CJ�'� i I n z. 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