HomeMy WebLinkAboutBLD97-0615 Deck - BLD Application - 6/24/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98684
13 U 1 1... 0 1 N CA P IF R M 1 11- FOR INSPECTIONS CAL.1 42 f--967A
BETWEEN 5E►m AND E3am 427-7262
Bt_D97-0616 PARt;EL :4200€i7890042 PLAT r D I V : F't K 1 LOT
J(* AnDRES S 1 W 1040 DAYTON TRAILS DR SHE t.TON PERMIT
OWNER , MARK GAZADZ 1 ELEWSK I :352--7641 VOID BY EXPIRATION
CONTRACTOR : ADA I R HOMES 352--7641 ►`IDLE &
LEGAL : TO 4-9 OF SURV 151159 It 4 OF SP 12215 DATE
CLASS OF WORK . . :NEW BEDRt 0 BATH : 0 TYPE y- AMOUNT AY DATE RECEIPT TYPE ANOUNi BY DATE 1fCEIPT
TYPE OF USE . . . . :A C C, STORIES . . . . . . . .0
OCCUP . GROUP . . . :U1 BI DG . HE I GHT . . : 0 .Of I IPICK
PRNl 1 59.75 KS 06124/97 44716
TYPE'. OF CONST . . 15N F I REPLACE S . . . . : 0 1 23.90 K5 06124197 44776
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 ISIFE $ 4.50 KS 06124191 44776
DWELL .UN T TS . . . . . 0 PARKING SPACES : 0 ENCP 1 ?4.00 KS 06124197 44776
INSPECTION AREA : 2 SHORELINE? . . . . :N TOTAL: 114.15 VAt(ItATIONr 243011
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SETBAC,Kt) ___..._.__.._ ___ TOILETS . . . . . . . . . : 0 FUEL_ TYPES-___........_.___._ BOILE:RS/COMP------ 1.9OFIL.E IIOME-- -
FRONT . . .S 1 9E) .Oft BATII BASINS , . . . . . 1 0 : 0 1 HP . 1 0
RFAR . . . .N 85 .Oft BATH TUBS . . . . . . . . 1 0 3- 15 HP , : 0 MODEL :
S I DE ( 1 ) .I 68 .Oft SHOWERS . . . . . . . . A FURN < 1910K BTUs 0 15- 30 HP . : 0 ..MAKE-
S I C)E(2 ) .W 1 71 .Oft WATER HEATERS . . . . : 0 FURN >-100K. BTU : 0 30-50 NP . 1 0
SHRL I NE . 0 .Dr t CL OTHF F! WASHERS . . 1 0 FURN Ft.OOR . . 1 0 60•+ HP _-: 0 -YEAR
AREA ---_ -- - -- - - KITCHEN SINKS . . . . 1 0 IIE111 PUMP . . . . . . 1 0
LOT S1TE . FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . . 0 FVAP COOLERS : 11 LE:NG1H1 0
BUIL..DING . . . : Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . 1 0 HOODS . . . . . . 1 0 WIDTH . r 0
BASEMENT , , > , Osf I..AE►NDRY TRAYS . . . . : 0 DOMF S . I NC I N :0 SER I At #1
DECKS . . . . . . . 360sf DISHWASHERS . . . . . . . 0 Air HANOI._ I NG UNITS-- COMML . I NC T N :43
GAR/CARP /? Osf GAFIB DISPOSALS . . . . 0 K•.z 10000 c-fm . 0 REtOC/REPAIR : 0
AT/f1T . 1? I1R 1 NALS . . . . . . . . . . .. 0 p 10000 cfm . , 0 OTHER UNITS . 1 0
RIISC. PIM FIXTORF;: : 0 GA<i ()11Ci.ETS . r 0
n:ui_TAlrr+�t53�iMf2ccAtrmsa+MN,Fxa::.ia]65a�G.a.tc1•-ai�"JCc¢>s:.i•s',.C-:-c:r!e .. urestcaCR^t31�a^+•1>sas.'st;-_�.sf6t:xx,.>_s.:>•:arx'uAeutC�;�aCiizSSk:^:c:Lst.,mC:yO!lcta-^vKaw�..s4s:s::� .r Via.• ,P•':•s efae-RcC ar-W`.O,era.
'P0.1>:CT DESCAIPTlONrDF,CK
'RHjECT IOCA110Nr191 ITfT 00 DAYTON AIRPORT 80, PAST CORRF01ONS CEwfl, .3 11m,,.4I6HT Ivq Dfmilll TRAIIS IIP SNORT Hill , TAKE FIRST IffT 11111"N 19 DAYTON
IAItS ORIVE, A1.1 THE NAY TO ENO Of ROAD:
His PF111111 OFCOVES 110t1 AND Yi111) IF WORK OR COUSTRUCTION AOTNPRIV'D 1S NOT CONNtNCFD WITHIN Is$ DkvA ,, OR If CONSTRUCTION OIIJORK IS 90SPE119E6 FOR A PEAIOI+
if 180 DAYS AT ANY TINE AfTf/ WORT IN' CUNNENCED. FVIDENGE OF CONTINUATION Of WORV IS A PROGRESS INSPECTION WITHIN THE 180 DO PERIOD, f1N'4t INSPECTION Ni'N) 6E
PPROVED BffORE SUIIDING CAN RE OCCUPIED. f
- j ,
CGNCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
ate 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
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
+ate 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
Attic
Groundworkdate date by
D W.V. by WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I�
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628p
PLEASE PRINT
#1 r /��9�/t' f/�i4/✓Gy �,�Z/9DziELEwSk
Phone# 36 0
�•��
ite Address W /DAD D.4y7VN TiPA�LS DR sflE�TO�/ 9�f'S�'4� Fire District#
City TD zt/ St h/W Zip
Directions to Job Site F, oin Al ow /Ol - LEFT o,v D,417-axl-,4/� PM T
A 1) - - Pi9LS T el 0 A R 6 GT/DNS d 7-/Z - • 3 it i c ES - ef T &,PW i v no
DIfXToN T4/1/45- - Q /0 sRIR r- H/LL 7-4KE I 7- W//i,g-'�
15 P4yr0 r/ T641,45 AR/v,!5 - ALL e4 n E.4-10 0 Ro/1 D
Owner Mailing Address 4z0 & Y TD,v 7-,P,4/LS D.QWd
City S Nz47Y A/ St A��Zip �
Lien/Title Holder C EA / �Ni1//,�L B 19/✓A"
Address
Clty LA cY �,,/�/�, St iv'd. _Zip 7.5103
#2 Contractor Name .}-�r Contractor Reg#
Address 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 residential, proof of potable water is required)
#4- ��Rarcel No. ��� - - O O i
� �\ Legal Description 1-0 T F Gt �s;) Sf�O P,T Sig 8 i�l V/S/B AJ
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck O / 360 #bedrooms / #bathrooms /
Garage / Carport t� (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of buildin lx A`l.,= Describe work
#7 Type of Job: New _Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year a del
Length th rial N
e room # Bathrooms Type of Heat MAY 3 o 97
Purchase Price $
-r,,� ......►'►'v ..1
#9 Indicate by circling the applicable source if any water is on or adjacent to subject propE7 .
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 by (N, S, E, W)
Name of Flanking Street
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
LOT 4
330' N
v ADAIR NOMf- GAa.
3-1702 AFG a zzx2z
\t RF-uERSED
Vol
� PRO Pos E D O.Fd-1�ADD J TiON
I 30 X 12, 2oa
3 I COM Mayily
-- - - - - - - - - - - - - - - - - - - - - - - - - - - - -
01
� -/O/ - - - X-WATEA
wER
6 T x-�RBL�
rASEME 33 1' DAy 0 ' n,�,cs
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
W G
s
s
5'
Plumbing Fixtures ($3 35 eachl Fee Mechanical Fixtures ($6.75 eachl
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
Showers Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
_Sinks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
Dishwasher No. Air Handling Units
_Disposal _ cfm#
Urinals No. Fire Protection Systems
__Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 16.75 _ Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $ No. Other
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 16.75
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $
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 BUILDING DE ARTMEN DEPARTMENT.
X OWNER X BY
DATE ' DATE
FOR OFFICIAL USE ONLY: Accepted by: I (ti Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: PV
/3
Environmental Health:
17,
Building Plan Review G—G-rj6
Occupancy Group: Type of Const: 10
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit '7-1
Plan Check 2 3_y°
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee y 5v
Other �[✓, HLTM 00
Other
Building Valuation:
�
='';�' _ ' - zy3C� TOTAL FEE ,j�
� 7
� 11 / 3
� 5 ,10�! ,` �CasuvtiL Tycc'te� v�ncct�r;a.1- (2�r1 ��IST
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