HomeMy WebLinkAboutBLD12421 SFR - BLD Permit / Conditions - 5/13/1982 I Permit No. 12421TYPe Residence No- Floors 2 Square Footage L,8DD
Owner Mance,_BAymond _-- - Phor g4ti-6767 Date_ S/1 'A/R2
Address _ _ rh n �-F-uya Zip 98371
71
Contractor Olson_Const _ __done 2—z - Q�i_
Address Zip _
.Plan C� a App ovu D.Fawver Shoreline M.Turner TYPE�E;j-
Applicant's plot plan approved as to setback requirements, by M.Turner
Legal Description: Tr,12.G.L.. 3 & TL./F 19' �1r_13rL- .3 & IT,,14-22-3.
Direction to project site:— .9 miles past A1derbrQQ1,.--Jaa-toward Belfair
Feeaian Check X Permit X_P ing X Mec�ianica � Sewer X
Wood StoveEa-`irep]ace Deck _Garage -Uarport
Basement Loft --MRn Floor Ord-Story
Inspections:
°p 18 °p
CL O LL
II Foundation:
Compac- tQ Fill Fireplace footing
Forms Anchor bolts
Foundation wall & rebar Pier spacing
Basement wall & rebar Vents & crawl space
Retaining wall & rebar Soil-wood clearance
III Framing:
Floor Blocking
it ers & posts Bridging _
Joist size & grade Sub floor type
Span Grade & Nailing
Walls
Material Grade
Bracing Exterior Siding H
Ceiling height Nailing
Roof
p roved trusses Hurricane Clips
Rafters Purlings
Cathedral Valley rafters
Beams Sheathing
Span Flashing
Blocking Weather application
Nailing
Fire-stops
Walls & ceilings
Shower walls Furnace ducts
Dropped ceilings Main electrical box
Roof Holes plugged
Firred-out walls Others
Stairs
Riser & Tread Headroom
Width Stair Jacks
Landings Handrails
Inspections: 1
oat'
Fireplace
Construction No. of flues Q
Flashing For:
Soffits
used Soffit Vents n
Closed Ridge Vent q
Cathedral
Windows & Doors
-fact protection Header Span
Openings Insulation
Sill Height Caulking
Attic
-ventilation q S Access
IV Plumbing
1�5o Bents & Jacks Pipe Rims
Traps Bathroom Facil.
Clean outs Handicap Facil.
Hot Water Pressure Val
Mechanical
Fans�C et n & Bath n Cl. Dryer Vent
Furnace & Ducts q Stove vent
Insulation
e Floors Flo
Ceiling Exterior Doors
V Interior Cover
Finishedoors ❑ Finished Walls
Type Type
Nailing
Decks, Balconies & Lofts
Guardrails E] Structural Sup. Elq
Fire Protection
Doors SHoke Detector
Firewalls & Ceiling Wood Stave
Final & Occupany Approved. Date O/3 8;7�' , By:
I
III
V
1 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
S io 7� ve vr/ 676 7
DIRECTIONS
TO JOB SITE 9B c O
LEGAL I _ / (❑ SEE
�ATTTTTACHEDSHEET)
DESCR. �C YfSi`� C ov 3 L < 9 ' /
CONTRACTOR
NAME MAIL ADDRESS & ATE LICENSE NO. PHONE
j` C-CJ.�I . 6-k -so 3'Z 4?1. 107 C
USE OF
BUILDING «i
P./IG'•C
Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
14
Describe work:
r;,e7
Valuation of work: �/ PLA4CgCK FEE, PERMIT F E
i ccYY,,SV 3�5 0 0
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT [I NOTICE
BATHROOMS Z TOTAL SQ. FT:Z S— GARAGE I J
ATTACHED Li SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [] OR AIR CONDITIONING.
TOTAL SQ. FTIW FIREPLACE f] DETACHED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANEN .J SHORELINES
{ , SEASONAL (] FLOODPLAIN C i
FirmSG B E.D. NO. S.E.P.A. I
By Special Approvals IN OUT YES APPROVED NO
Lic. No. C�2So Date S �� �L ZONING
P DEPT.
oo OWNERS AFFIDAVIT H TH DE 9 T/
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING D
which this permit is issued and that all work done will TOA SS
be in conformance therewith. M TOR VEHICLE PERMIT
P LtCATION AC E D BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner _ Date . B
PLV CHECK VALIDATION CK. M.O. CASH P6fiMIT VALIDATION CK. M.O. CASH
MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT— Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel.No.
4!� 37/ 9-)y8-6JG
Owner
2.
Contractor
The owner of this building and the undersigned.!" to conform to all applicable laws of Mason County and State of Washington
Signature of applica Address Application date
EGAL DESCRIPTION
LocationOf
Building � ��
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS _
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer `
DISH WASHER
DISPOSAL
URINAL
dv
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by S— rPermit fee Date pemit issued Permit number Receipt No.
/a4L) I
g� 3 S $
--- -- J
PLOT PLAN
ADDRESS � / PERMIT NO.
F o
ll = a
LEGAL
DESCRIPTION LOT BLK ADDITION u
SITE AREA //y60G/ Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
IN$TRUCT(ONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE
FILED WITH PERMIT APPLICATION, (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION A"'D SEWER SERVICE ELEVATION, SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
—� INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
c;
Za
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
L�
NAME(S) OWNERS) OF SITE 5 STRUCTURElS) (PRINT) SIGNATURE O OWNER O UTHO IZED RE RESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6H ELTON Pfi'NTINi
MASON COUNTY PLANNING DEPARTMENT
P.O. Box 186 Shelton,Washington 98584
~ MECHANICAL PERMIT APPLICATION
IMPORTANT - Complete ALL items. Mark boxes where applicable.
1. LEGAL DESCRIPTION
Location
Of N S N s
Building
E W side of feet E W from intersection of
Sect. Twp. Range
NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE
1. Forced air or gravity type furnace or burner including ducts 14. For the installation or relocation of each boiler or refrigeration
and vents, up to and including 100,000 Btu's-$4.00 compressor over 50 horse power or each absorption system over
1,750,000 Btu's--$25.00
2. Over 100,000 Btu's-$5.00
15. For each air handling unit to and including 10,000 cubic feet
3. Installation or relocation of floor furnace and vent, suspended per minute, including ducts attached thereto-$3.00
heater, or recessed wall heater---$4.00
NOTE: This fee shall not apply to an air handling unit which
4. Installation, relocation, or replacement of each appliance vent is a portion of a factory assembled appliance, cooling
installed, not included in appliance permit-$2.00 unit, evaporative cooler or absorption unit for which
a permit is required elsewhere in this Code.
5. Repair, alteration or addition to each heating appliance, re
frigeration unit, cooling unit, absorption unit, or evaporative 16. For each air handling unit over 10,000 cubic feet per minute
cooling system including installation of controls regulated by -$5.00
this code--$4.00
17. For each evaporative cooler other than portable type-$3.00
6. Installation or relocation of each boiler or compressor to and
including 3 horse power-$4.00 18. For each ventilation fan connected to a single duct-$2.00
7. Over 3 horse power to and including 15 horse power-$7.50 19. For each ventilation system which is not a portion of any heating
8. Over 15 horse power to and including 30 horse power-$10.00 or air conditioning system authorized by a permit-$3.00
9. Over 30 horse power to and including 50 horse power-$15.00 20. For the installation of each hood which is served by mechanical
exhaust, including ducts for such hoo"3.00
10. Installation or relocation of each absorption system to and
including 100,000 Btu's--$4.00 21. For the installation or relocation of each domestic type in-
11. Over 100,000 Btu's to and including 500,000 Btu's-$1.50 cinerator-$5.00
12. Over 500,000 Btu's to and including 1,000,000 Btu's Commercial or industrial type incinerators-$20.00
-$10.00
22, For each appliance or piece of equipment regulated by this
13. Over 1,000,000 Btu's to and including 1,750,000 Btu's Code but not classed in other appliance catagories, or for which
-$15.00 no other fee is listed in this Code---$3.00
FIELD INSPECTION Basic Fee $3.00
Date By Remarks
TOTAL CF"�
Name Mailing address - Number, street, city, and State Zip code Tel. No.
1. r C C
Owner -J''1.-e�.
PA
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY
S,gnatur of Address Application da
-i4Iv /.?
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE
Appr ved by Permit fee (Date permit Issued Permit number Receipt No.
I
&HELTON PRINTING CO.