HomeMy WebLinkAboutBLD94-1546 res - BLD Permit / Conditions - 1/23/1995 'n n
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CONCRETE j—i��C �QGaaco-, MECHANICAL MOBILE HOME
Footings etbac date 44- by Ribbons
date / Z by Gas Piping date b
Found ion W Its date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
U�` Walls FIRE DEPT.
date by 1.�.3 date by date by
PLUMBING
Groundwork Attic OTHER
date by date t� ,✓ -
D.W.V. _ WALLBOARD PA
date
C Sy date C� by` 7 toy-
Water Line ( FINAL INSPECTION
date �,<' bye L� date , % by " date by
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'In i1, -P-OP.
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Permit No.
�L]` MASON COUNTY as ,,�tp
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �h
PLEASE PRINT
#1 Ow r (n1 i j�l//� �'1 z %'jam Phone# `�
ite Address _ Fire District#
City -� -- (,.� /� -- St Zip
Directions to Job Site D,4!�/1r) X. -F12 A d 10 P l j U
E xb A u v 4 & &-h f 0 ,�.
Owner Mailing Address n A > > G
City f'1 e v St Lam..A Zip 4'
Lien/Title Holder
Address C7 z
Clty St Zip
#2 Contractor Name W 111ZAf!!, e Y-1 /�t Contractor Reg#
Address s_� v 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 residenti , proof of potable water is required)
#4 0. 60� - 7 b b
L gal Description '
#5 Building SquarT Fo tage: (existing/proposed)
st FI / 2nd A / 3rd FI / Loft /
ement / Deck / #bedrooms l / , #bathrooms /
Garage -!�C' / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
O
#6 Use of building �' �'�-' c work
#7 Type of Job: New_,X Add Alt Repair Othe
#8 MOBILE/MANUFACTURED HOME INFORMATION I </
Model Year Make Model r,, (p,
Length Width Serial No.
—' h\ J
# Bedrooms # Bathrooms Type of e
Purchase Price $
#9 Indicate by circling t#e applicable source if any water is on or adjacent to subject property: V-
River Pond Creek Stream Wetland 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 Indicate Directional b N, S, E, W)
Name of Flanking Street in relation t y of plan
Name of Fronting Street p
APPLICANT TO DRAW SITE PLAN BELOW
6
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
rya,
b �
4 ,.
Plumbing Fixtures (13 each) _Feg Mechanical Fixtures ($6 each)
C4 d4 7—
No. Toilets CIRCLE FUEL TYPE: Gas,Electric)
Bath Basins Heatpump, Other
1 Bath Tubs No. jLk Fees
Showers Furn BTU
%Hot Water Htr ✓ _ Heatpumps
_Laundry Washer _ Vent Systems
_Sinks — Spot Vent Fans
_Floor Drains lo Boilers/Compressors
i
_Laundry Basins _ HP
Dishwasher No.. Air Handling Units
_Disposal _ cfm#
k
_Urinals Ns, 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 $3� No. Qlbff
f _ Gas Outlets
Wood, Gas, Pellet 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
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 BUILDI D P RTME �: DEPARTMENT.
��
X OWNER X BY
DATE /�7�. / 'S�' DATE
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: OSP
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit Liz
Plan Check 5V
Plumbing Fee .vU
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
QQ Other
Building Valuation: U� , 3 TOTAL FEE
MASON COUNTY ok,
BUILDING III 426 W. CEDAR /- a
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location
oc
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
�xJt� /ICI
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
all for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
Department
Date �`- � � Inspector S
DO NOT REMOVE
THIS TAG
MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584 ll" E l Z 3
(360) 427-9670 l l P A
CORRECTION NOTICE
Job Location �' d� 11 �2 Z--.;r
jr
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
&z�
A66y' 7-
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
❑ OKto
Department All
Date — �� _ ► Inspector
DO NOT REMOVE THiS TAG
MASON COUNTY �� � l
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location i�/ 11 1�1C16 t1t 0
lot
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: 'Rileoof- Cok,57reao .v Dr-�6e[-5 0-1-n-COL�'
Items listed below must be corr cted to gain code compliance
14(dple f'SS
.�/ ,CD� acv•�f o GU�97 c
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WOR� L-)4�;s n41A4 l
S,ee,cI,er L)AC X5 z2�, .S7"z ucyle,-
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑OKto ( ��/ v9y--�� ( ( ,
Department
Date ? 1 M Inspector ° ►�
DO NOT REMOVE
THIS TAG
r MASON COUNTY f[ 30 '''�
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location
Tom•
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
Ck4CiD
A16) -,-e42�e- ^14111AI!5: A�%e <47�--V
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
Wr6all for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OKto
Department /
ll
Date Inspector
,� l,� Ins
DO NOT REMOVE THIS TAG
MASONYCOUNTY '
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location
Q
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
Q�-
3
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
❑ ake corrections, items will be checked on next inspection
OK to
Departme t '
1) iA
Date �- Inspector
D O OT REMOVE THISTAG
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W.Cedar
P.O.Box 186 Shelton,Washington 98584
(360)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
August 4, 1995
William Lemke
E. 80 Bald Eagle
Shelton, WA 98584
Site Address: W. 61 Hillsborough Ct. Shelton
Parcel: #42008-78-90034
Permit: #BLD94-1546/Residence
Dear Mr. Lemke:
On August 1, 1995 a Conditional Final Inspection was granted on the above referenced permit.
The reason for the Conditional Final is due to no records that a Sheet Rock Inspection or a Call
and Proceed approval was granted.
Please note the following: ,
All inspections must be complied with from footings to final, NO EXCEPTIONS. If
in the future when inspections are missed in the order required the following
inspection, in order will not be accepted until the prior inspection has been completed.
If you should have any questions on building inspection requirement free to call myself or Mike
Byrne, Building Official at (360) 427-9670.
Sincerely,
ln"R&
Mike Byrne
Building Official
Dusty Ge ge Rhodes III
Building Inspector III
cc: property file
Mike Byrne, Building Official
< r
STAT IENGTON
BuildingRecord WSEO Contract# ;-19- 11 e
��
PROGRAM For Site-Built Residential Buildings Heated by Electric Resistance or Heat Pumps
_ _
� ...
(please check one) (please check one)
ew Building ❑Addition over 500 sq. ft. Single Family ❑ Duplex
Jurisdiction: AAA �d/�}f ❑Multifamily ❑Zero Lot Line Home
❑ Planned Unit Development/ +
please check one. El City ounty Permit# 91 ,- //5 7(10
File ID# (if different from Permit#) +
A. Site Information B. Owner Information
Address Owner o rattimeofconstructionreceivesutili a meet
City OFe11t7--7 Zip 9'r, Company
Assessor's Property Tax# or attach le a descri tion : Address 4_ L /C
QQ City State Zi rS
Servicing Electric Uti ity f-�UIZ Phone ( �� ) � fo -
C. If Single Family, Zero Lot Line or D. Duplex E.If Multifamily(R-1)
Planned Unit Development First Duplex Unit s .ft. Total #/Bld s.
Total Conditioned Floor Area s . ft. Second Duplex Unit s .ft. Total #/Units
A. Primary Space Heat Type B. Secondary Space Heat Type C. Water Heat Type
(check one) (check all that apply) (check one)
❑ Electric Baseboard None Electric
'dl, Electric Wall Heater ❑ Wood ❑ Gas
❑ Electric Furnace ❑ Electric Baseboard ❑ Other(specify below)
❑ Electric Heat Pump ❑ Other (specify below)
❑ Other
WSEC Compliance Method For Heat Pump Only: ` /
❑ Prescriptive Path Built to the Electric Date of Permit Application /0 --- //— 9Y
❑ Component Performance Requirements of WSEC? Date Building Permit Issued � '" a3--�
es, Date of Insulation Inspection _ /3 - �� Run
System Analysis El Yes ❑ No (If Y
utility may offer incentive.) Date of Final Inspection —1 —9 5
If
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 th the 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.
■ Building Department: Retain pink copy for jurisdiction's building file.
WSE0#94-015 5-95