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BLD93-1736 SFR - BLD Permit / Conditions - 12/28/1993
MASON COUNTY Mason County Bldg. 111 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 4.0 .1 pill 0, W 160 MEADOWS Pit— SHI I. ION t, 1,01S R06CPS 4?7--0460 F. r4YFRS 4;1:7 —0460 III 1.oli;j tit ij lit Iii fit i III il'.J<Illlf' tit fll, tl� I iji IT f 1 1114'. T t I f:i, ; I fr I iti3ji ' I-) 1101i1i , f 1)-, 4 Mill 1 kliN I N .-oo , ill I iv, t I 1 litlj. Ill I J'j Wtiq I 1 Nil ill', 0i t0 ,100 , I til 1 j 0 ;1 Ilk( 14 Srrti fill C,elirrr in I A 1411 tiff Al II)P Ot 111ti— Mlif TAI(J 10! ;414V, (,i) 11) flift it[ pirAo pol itE If ljllfii 14 01KI'lliti"Hoo AUT11110:0 Is N61 i'llAAWFA wifflio 11i0 IJAYS'i4fi Itf 141 PAYS AT ANY I Illf ATTI k 0PY P5 COW Off 11. [Vf[lif0f Of (.011109ATION of, 40011 Is A PRfifiRl'si IN'41i t'lliffil t,1111114 Ill, lx& (11'i 1,fRi- ;4 rf ? llilll 411"! (Ap 41 (Ilt'(11piff1 ------ --------- c(rRP L I AN C 1: 10 Al I ACHI-J) CONDI I 1 0 W" REQU IRLD r CONCRETE MECHANICAL MOBILE HOME Footings-Setback 2 J �1 ✓ D`' date by Ribbons date 7i by Gas Piping date b Foundation Walls I � date by Set Up date 2 by INSULATION date by BG/SLAB Insulation ;� Final / Floors date —� —m (Y` date by date by FRAMING FIRE DEPT. date 6 3—/7 "`� by.��>� Walls date by date 03—il-q� by � PLUMBING OTHER Groundwork Attic date by date by D.W.V. ALLBOARD NAILING date 63—/7-44e by *41272F date by Water Line FINAL INSPECTION date 63'17—F) by date by date by -9 2rlwm 4r ,. ' P 0 l -- --- - --------------------- - MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 appvnvml qr an ted 0 k v R4 NUMNE OR Altvwh4 ROV N H 4 v" PIU IN 0 "4 111 A P1110H An In H P Y! IAINl V , 11'ND LL61HIr FROM IN nO UkONIIN" tHU rROPIRlY NAN i "UNIV D P P 6 k V M F N f K P q 0 1 H 1 1, 4 H 4 V L 1; 1 1-5 J R I A W r Q KAIiIN6 ! OR ANY . 111 1 m4rt I I VFTNbVhclI0H FFF . HA4FD ON A I L S IN IAHIF ` A 0 F I H I IA41 "NIFHPM H" ! IDINN CONE Will AnnUshl'D I VAI' 1n -10 POsl n0"1414q ON qlI-F Pkloo I " Q00041IN'', I NQPF C LJ "N' 4 41. AILIONAIRMFITON Mil` l MIFI ON L > 111FO All 101mll ( 001r � AN" "HI PV q!Tff Mt NI ' ChmAqvn Lo appro-wo buildi "o plan" that wti-ecl - omplimn+ - to lit- IA91 wm�hmql [ "evqy tode . 19" ! 'stunk ilohto" and Indooi Ali 4"0111v V 0 d" , the "nil "rm 111"i1dinq uodp and/or Mm-"" in"mv Aprivila"j -"n must opp, oved by Macon r n Con ooty pi to n I I "voll wit ! nmvv ro b- i -cmrd-d with Lho davd o"n— cuva"I Iolat "lambor "I hodr"nmn ra""Ov sycand r CONCRETE. MECHANICAL MOBILE HOME Footings,Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by II� i I i I I I I i I I I I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 f CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I `I I MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location 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 �! S 2 e!7 �SGTo You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK aCall for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OKto- Department Date /�_� Inspector so 's I'Mmo OT Mo *V THI - MASON COUNTY 7j BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location �LJI 5a s�2SL p 73 - /73 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: N Q �� Items listed below must be corrected to gain code compliance - PCs r4, w t N10b (A) 3` F or> 57,4Ga� (��A-e-D CIO IL6 011— 7 Sl����' d � l�►� w 1 way.,, 7oD. T, 04- S�'l /kz- 19000js 75 TZ A-Int y ` T�1/'G �LT�OwS 1�u are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ CIbfor re-inspection when corrections are made before continuing ake corrections, items will be checked on next inspection ❑ OK to Department Date Inspector y ■ so * No *T MnV THI T " ,� MASON COUNTY : BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location 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 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 ❑ OK to Department Date Inspector 0 *00 NnT MOV THF TR ,*-w J� MASON COUNTY ' BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location -7 5 4 0l5 woY4:"E�5 Ica ?3-/7-3r 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 3 fI v �52?,exw5 SCIO stkx»,C ?.�11Ct C P0A1& ' U56- �s2.egl�/�T�/�B /�/y 04,0-55 zor 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, it will be checked on next inspection ❑ OK to©CC Qo V T�7p Department X/� Date ��� — T Inspector GUXff3C��S' N6T M TH I T , Permit No. MASON COUNTY BUILDING PERMIT APPLICATION q4D, U PLEASE PRINT #1 Owner Lo15 i, _16hn ROQ Ee,5 Phone# .2 Ucf Site Address C Fire District # City 5WELION St WA Zip 98'5�4 Directions to Job Site C',o i O DA70M TELLS --TAkE LEFT AT WPOIF tE1 LL - 7E/l1 T1lKE LAi RANT-- ) ENl5 v1= i��,Ap Pknoaki�e 15 na 6(( - l T Na L :L}Li_1�E-Sig( Owner Mailing AddressS�ITf�%�'CC�U� LCUNI City - ELM A St ldlfa, Zip 985-64 Lien/Title Holder Address Sri ME Cit St #2 Contractor Name-R' R-55A15 /�'l�E,�S cr7_ Contractor Reg#?,lR_-eM(D96Pz Address?0 �)K q;Z_l Expiration date W City ��l t�L' ?2L St�Zip ' Phone 427-4 (PC) #3 If septic is located on project site, include records. Connect to Septic?4/ Public Water Supply t/ Well (If residential, proof of potable water is required) #4 Parcel No.4.9-4'L-) E3 - 7e- lxa�) Legal Description #5 Building Square Footage: 1st Fl1 4 2nd Fl 1110 3rd Fl Loft Basement -OA& Deck Oy #bedrooms 6Z' #bathrooms //Q Garage Carport Garage/Carport: Attached or Detached Other_ 6,A9H6-,e_ i, `r of ff�46EMk-A)1- #6 Use of building S FZ Describe work__6U, 1 0`CEO L s #7 Type of Job: New c/ Add Alt Repair Demolition Re-Roof Bulkhead Other #S MOBILE HOME INFORMATION Model Year Make Mo� Length Width S ial No. \k_ #Bedrooms #Bathrooms_ Type of Heat #9 Any water on or adjacent to property: saltwat lake river pond wetland sea off other WASHINGTON ENE Building Record WSEOContract# 91-119-hment B CODE PROGRAM For Site-Built Residential Buildings Heated by Electric Resistance or Heat Pumps CLASSIFICATION (please check one) (please check one) New Building ❑Addition over 500 sq. ft. 1 Single Family ❑ Duplex Jurisdiction: t�/1 .iyy _ ❑Multifamily ❑Zero Lot Line Home ❑ Planned Unit Development _ please check one: ❑ City County _ Permit# 93 - /7362 FI le I D # (if different from Permit#) I CONSTRUCTION A. Site InforrVion B. Owner Information Address /690 Oa)__-, Owner owner attimeofconstruction receives ufil' payment) Jo/c? City /jE'/ � Zip Im—r Com an c !'SO t S ASS ssor's roperty Tax# or attach legal description): Address {? 47",2 00 k ZeOO_0_.Z�62) Cit he tat Zip cL Servicing Electric Utility Phone — 0 Coo 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 HEAT SOURCE 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 ❑ Electric Wall Heater ❑ Wood ❑ Gas ❑ Electric Furnace ❑ Electric Baseboard ❑ Other (specify below) ❑ Electric Heat Pump ❑ Other (specify below) ❑ Other COMPLIANCE INSPECTIONANFORCEMENT WSEC Compliance Method For Heat Pump Only: El Prescriptive Path Built to the Electric Date of Permit Application //— /:� � y El Component Performance Requirements of WSEC? Date Building Permit Issued /��8 - �3 No (If yes, ❑ System Analysis ❑ Yes �] Date of Insulation Inspection - utility may offer incentive.) Date of Final Inspection (o - 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. Signature of building Official or Authorized Representative Date ■ Building Department: Return white copy to Kathleen Skaar,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. WSEO#94-015 2-94 , 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 L Proposed Improvements Easements Name of Flanking Street Scale: Name of Fronting Street Date: APPLICANT TO DRAW SITE PLAN BELO a ASS a w � Lc>op C/O� �u APPLICANT TO DRAW TOPOGRAPHY PROFILES BELO 1 D lG�VS t�UP2rty i5 Fc�r XC��p l LOr Jot 1U� f34.,(Co CT-7� f �� I Zen Plumbing Fixtures Mechanical Fixtures Na._Toilets Primary Heat Source (circle type) Bath Basins Elect/heatpump/other Bath Tubs C� _LShowers 3 NO. FEE l Hot Water Htr _� I Furn w Laundry Washer Heat Pumps ! Sinks _ / I Vent Sys (Central) Floor Drains '1� �l, Vent Fans (Spot/Whole Laundry Basins Boilers/Compressors Dishwasher Hp _ Disposal Air Handling Unit Urinals cfm. Other Fire Protection Systems Permit Basic Fee TOTAL PLUMBING $ Other Gas Outlets.Hookups Wood/Pellet/Gas Stove Other Permit Basic Fee 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 I 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. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: Date: O� a1 �1 O O d Q ry�c 3 slac becoc 3 JrA6A• XOMOCN SAPS AL t� /�•t�/ GORE