HomeMy WebLinkAboutBLD2002-01552 SFR - BLD Permit / Conditions - 12/31/2002 Line
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MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Plhonpe: (360)427(96700,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
IP14 Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2002-01552
OWNER: JOHN FRAZIER
CONTRACTOR: HI LINE HOMES LICENSE: EXP: RECEIVED: 11/19/2002
SITE ADDRESS: 350 E UNION HEIGHTS DR UNION ISSUED: 12/31/2002
PARCEL NUMBE EXPIRES: 6/30/2003
LEGAL DESCRIPTION: TR 11-C OF SURV 5/59 TR 3 OF SP# 1555 TR 3 OF SP#2252
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
RESIDENCE MCREAVY NORTH TO 1ST RD PAST BP GAS STATION TURN LEFT ON
Created stock plan # 122602RLS UNION HEIGHTS DR., 1/4 MILE TO END ON RIGHT CORNER
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: 3 Type of Constr.: V-N
Type of Use: SF Insp.Area: No.of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 6 No. of Stories: 1 Occ. Load: Building:1,664 Garage-Attached 484
Valuation: Building Height: 15 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: S 73.0 Ft. Shoreline: Ft. Water Body:
Rear: N 167.0 Ft. Slope: 300.0 Ft. SEPA?: No
Model: Width: Ft. Side 1: W 114.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: E 30.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KLW 11/19/200 $667.78 61233
Hosebibs 2 Furnace>100K 1 Address Fee GMM 11/25/200 $15.00 2572
Kitchen Sink 1 Ventilation Fan 3 Planning Site Inspection SAL 12/3/2002 $70.00 2572
Lavatories 2 Heat Pump 1 EH Plan Review CEW 12/18/200 $75.00 2572
Water Closets (Toilets) 2 Dryer Vent 1 Adjust Plan Check Fee RLS 12/26/200 $3.64 2572
Water Heaters 1 Building State Fee RLS 12/26/200 $4.50 2572
Bath Tubs 2 Building Permit Fee RLS 12/26/200$1,032.95 2572
Clothes Washer 1 Mechanical Base Fee RLS 12/26/200 $23.50 2572
Mechanical Fee RLS 12/26/200 $68.50 2572
Plumbing Base Fee RLS 12/26/200 $20.00 2572
Plumbing Fee RLS 12/26/200 $70.00 2572
Total $2,050.87
BLD2002-01552 Please referto the following pages for conditions of this permit. 1 of 4
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o CONCRETE MECHANICAL MANUFACTURED HOME
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^� Footings / Setbacks _ Date q3 B yZ,� Ribbons
C.nDate .? �y�C3 yl� % Gas Piping Date B y
"n Foundation Walls Date B y Set-up
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Date 72,Ja3 B INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMIN Walls FIRE DEPT
6Date '5 63 By Date 6113l03 B Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLO RD NAILING
D.W.V. Date ,,R v3 ��
Date6 I T/63 B FINAL NS ION
Water Line Dater �� C) B G
Date . Zl 3 B Date By
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PERMIT NO.: BLD
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner j���, � 'fy K F�4Ztc Contractor Name H�ripe �fornes
Mailing Address /d/ C iv,/y t r Mailing Address ! /0 1.AJ bo./1c.,d
City 51,e1+c" State iLIA Zip Code 1?85'84/ City y-!.Ilvp State t.0 Zip Code 98?73
Phone 3too y27- 039(oOther Ph.(_j Ph. tT bya-lgy''Other Ph.(
Lien/Title Holder Contractor Reg. # N3c t��N* 983BD
Address Expiration f i l b7 / 6-r_
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System � Name of
Water System P u. D -k l
PARCEL INFORMATION-12 digit Tax Parcel No. 3 Z Z 3 -Z / 7S / 3 Fire Distric
Legal Description .f''/ ? 2- 2-ZZ—3
Site Address(Please include street name, street number and
Directions to site-1n c eAf1;AAJe Alt3I?�ry/ Tn / �.clL�•9 S:j �Q,P. G 4S
r,
ra,-f" / LLiI-Z' a— 'ItIViowi //�i( /rc /2JQ. j M LF_ TJ £ND a.4y Xt6ftr
Will timber be cut and sold in parcel preparation? (Yes/No)�l b
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE SEASONAL RESIDENCE❑
TYPE OF JOB Newer_Add Alt Repair Other Use of Building Me,. SfR
Describe Work New
No. of Bedrooms 3 No. of Bathrooms 1 SQUARE FOOTAGE-1st Floor /66 2nd Floor
3rd Floor Loft -- Basement - Deck — Other sq. ft.
Garage yjPy Attached-,Y' Detached Carport Attached Detached
MOBILE HOME INFORMA -Make Model Model Year
Length Wjdtlr" Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat--- Purchase Price $ Replacement Unit ?(Yes/No)
Instalter'Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described propeRpnCrItur for review and
inspection of this project. Acknowledgment of such is by signature below: CC tt VV EE
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify t#Q�[Imyungistered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington an a a �e ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for Ahich this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in¢onformance therevollIlUo Arshalbbe�ade without
a p approval. first obtaini g roval. AA!!((
r
X ;-, Date //--/Y. —G' Z_ X / Date// S VZ
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date �.1 ubmittal Amount Due Receipt No. >--- — —
DEPARTMENTAL-REVIEW APPROVED ENIED CONDITION CODES
Building Dep nt b
Occ Group Type Constr. .2 n
o +Ais /n F 0,
Planning Department
Environmental Health Department t
Public Works Department
I
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical& Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
FORM MUST BE COMPLETED IN INK PPKM1 I Ivv.,
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFO MATIO,N
Owner * EUeIvct PCA2_ie+r Contractor Name W , 4*7e j"�,*L3,
Mailinq Address I P>i t;.Tcv b X IJQ� Mail' Address /Zro GcJ�U� /QK
City SVLe t o✓t State� Zip Code `9b56y City P 411,4 State 44fA Zip Code 9837_7
Phone(3(ao ) 4t7- b3fk Other Ph.(_____) Ph.( Z 3 ) gila/6,V9 Other Ph.(
Lien/Title Holder Contractor Reg. # /fZ�rNN 9b's'Bt�
Address Expiration 67 / 0-?
SEPTIC INFORMATION-Connect to New Septic�Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION - 12 digit Tax Parcel No. 32 z-3 Z / 7 S / 1 d 1/3 Fire District
Legal Description T ce 1 Z -z z-.3
Site Address (Please include street name, street number and city) 1
Directions to site /11 f YST B..P Grfs STi4 Tio.cl i �?.r� L�r'T viv
Is your property within 200'of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream
Slopes or Bluffs
TYPE OF JOB NewK Add Alt Repair Other Use of Building lye w S/='Z
Location of Fixtures/Units 1st Floor___>,r' 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No.of Fixtures LPG Natural Gas Heatpump
Toilets Z. Type.of Unit No.of Units F
Bathroom Sink 2, Furnace l
Bath Tubs 2.- Heatpumps I
Showers Spot Vent Fan ,
Water Heater 1 1, 0 0 ) Propane Tank
Clothes Washer I MoO Gas Outlets
Kitchen Sinks I Wood/Gas/Pellet Stove
Dishwasher / _ Kitchen Exhaust Hood 1
Hosebibs 2 7, C-L Dryer Vent I
Other Other
Base Fee Base Fee JJ
TOTAL PLUMBING �:LL�.1. TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit Is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done.i conformance therewith. No changes shall be made without
approval. first obtainir( approval.
i
X Date &-/Z0-Z - X Q���/c/�' Date OZ
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
;. C:ONI�tTION CUDES '
Building Department /n / N r C'm 1V��
Oce GroupK. T v e Constr. 1 V / u�taC 1
Planning Department j J
Other
Other
FEES
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
1
Violation Fee TOTAL FEES