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Home My WebLink AboutBLD97-1114 SFR, Stove, Propane and Deck - BLD Permit / Conditions - 11/17/1997 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F3 l.1 1 t._ C) I N 0 P- F- ! 1; 1 12 BETWEEN Spin AND Gam 427-7262 BLD97- 1114 PARCEL. :322353190060 PLAT : UIV : SLY : LOT : IOB ADDRESS F TF ROUTE 106 UN 10 OWNER � -533-5466 C ON T R A C 10 R .-�Q-logo � 6ktL;ri0L Z7 00 t I=GA1. : I 6 0V1 tof 3 IN Of SP 11537 1 . .u�,��€�a .,��-€�-7:��.��-�-, 9-��,��..�.,: �,�Win •-,��y :• Gt_A[SS(( OFF (WORK , :NE'1N E[;F([��[R] 1 BATH s TrPE AMt1t1NI BY DATE RECEIPT IYPE A1O911 BY DATE RECEIPT TYPE- O 1 I.N S E_ . r �S-1 t'.A T O R I I^L1 s . � 1f �LAL'•^tl1::•.iY`,�.:L/i.i'R'.l:'gl3T�'3.^TtiW1S"Z`RYC.::AC^d`S.�4-`.'SdL�1''.A'1L L�SY'J:".F-i'"?X€,'�..#`GY.Y.ffi:-'i3:RffiC'{tF:..k7CG:1.•LCtSi�m. Or,'CUP . GROUP . . :R3 Bt DG . HF-IGHT , . . 0 0Ft PRO] f 171.50 113 11117197' 45916 Siff 1 4,1,10 TNJ 11ii7/97 45g18 TYPE: OF GONST . . :5N F I RF Pt ACF W . . .. . . 1 P1CK t 128.61 TNJ 11117191 45916 FNCP t 26.00 11.1 1107197 45918 OCCUP . t OAD . : 0 WOODSTOVF S . . . . ' 0 PIN $ 56,95 Tti,i 11117197 4.5918 DWE1 L ,UNITS , . , . : 0 PARKING SPACES : 0 NCR 1 64.0I TNJ 1111719; A5918 INSPECTION AREA : 4 SHORE( INE7 . . . . :7 f11P t 33.00 TN,1 1)117197 45913 101At : 634.55 VAaI'IATION: •swlj �K.:S4'S"A9R6ID]:.�•1.'K:':?.»'Z�:sYii'�!:'+ '.:.`lS.''�"fiIIS.IR.S�4C'- :X`:S�S':.'-.:.'"^^i:M1"�':t �'.R�"+'�!i).C:2'�:."fYSsti`C$`.•�?�f6d"'�.:::.'�•-,i^�'%«'� SETBACKS-- - ---------- TOILETS . . . . . . . . , . : 2 FUF=L. TYPES- - ___.____._ B011.FRS/COMP - -- MOBILE IIOME FRONT . . . 0 .0f 1 SATH BASINS _. . 2 : /f LF /GAS 1 1 ; 0- 3 HP . : 0 REAli . . . . O ..0ft BATH TUBS . . . . . 0 3 - 1 5 HP . - 0 MODE L : G f[)E t 1 T 0 .0tt SHf1WER5 . . . : . . . Fl1NN 4 10�hk. E31U : ih 1�; :poi HP . 0 -"AKE S 1 DP(2 ) . O .Oft WATER HEATERS : 1 FURN 1 00K BTU = 0 30--'50 tip , = 0 SHRLINE . O .Oft (;10THE'. WASHERS . . s 1 TURN -- FLOOR 0 504 111' , s 0 AREA _ ...___.__. _...._ _....._ _._._ KITCHEN SINKS . . . . , 1 HEAT PUMP . . . . . _ s 0 t-OT S 1 'F . FLOOR DIIA INS . . . r 0 VENT S Y S I FMS . . . . 0 FVAP COO1 EMS : 0 1 F NGTLI : 0 BIT I LA)1 NG , , . . 600 3 f DR I,NJK 1 NG FOUNT . . . 0 VENT FLANS . . . . . . : 5 I1OOD S . . . . . . . 0 YID I DTH . : 0 RA;'FMFNT . . 600'wr LAUNDRY TRAYS . . . 1 DOME,, . I NG I N c 0 -•I fi 1 /11 DECKS . . . . . . .. 2404.t DISHWASHERS . . . . . . s 1 A 111 HANDL. f NG UNITS- - COMMt_ , I NC I N :0 GAR/CAPP :7 0qf GAR DISFIOSAt. f� . . . : 1 .,s 10000 (!fm - : 0 RIFIOC/ REPAIR : 0 AT/DT . :7 URINALS . . . . . . . . . : 0 > 10000 ctm . : 0 OTHER IIN I TS 0 MISC PtM FIX-1!!RFS : 0 GAS 0111t.ET> . : 1 �csrsm�rc«::-r-:rac:':_:aesro•cx��srs.x�^f sra'x:..>.x;-:ax-..ix.:-:a;r�^.m-r.s.�Y•.e.-_s-r�r'ssaxvocc�a:cscr,.xsaactrt+.a..r-r._.-�<. .....tar...;-€s_^r_^icrrxcsr�.•s+s z..�.r:sus•svu•.usxss-aC_•--:a-:a:>•..s.�:_�e7'sx:^sq..n.rs,.:.ixs::a,^.s.:::sc.-:s+:c:ra�cw�amss:s.-a.:�z»:..:•.: PROJECT DFSCRI elf 1ON!IESIIENCE,SIOVF,PROPANE TANK,1fECK PROJECT IOCA1I04:0II114 R11 106 fAO4 UNION 10 NARKER 9 Itli 10 $11E 9', 010 RfSTAURANI .GREEM CABIN NO$ IARKGF -RE[ !R DICK ON UP111I1 S101 TN'S PERNIT bECONF8 Mott AND VOID If 00'III( OR CON31 RUCTIOO AUTROI17.fU IS NOT CONN.ENCED WITNIA 180 DAYS, 01 IF CONRTIUC HON OR 14111 IS SUSPfAOED 1`O1 A Pk#14O (If 18/ DAYS AT ANY IINE AFIFR WORK IS C011111FOCF9. EVIDFNCF of CON'INVA11?N (if WORK. IS A PROGRESS INSPECTION WITHIN TNF IRO !iAY PERIOD. fINAi k1 PPf0VE1 BEidIE 11011.81NG ',AN BE E►CCUPIEI INER OA EAU NT: _' : fL� ,r :m ... . a.r .. . - _.. ._. : _w.. Dart: BLO_Pt1T Ar tv; #3131 V- COMPL. I ANCE TO Al TACHED CONDITIONS IS REUU I RUD CONCRETE MECHANICAL MOBILE HOME Footings-Setback date If r51 by Ribbons date Za'Z;L y— �by Gas Piping date by 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 1 by /, �rt co, �A�'H ?^�Sl�/'q>�S date L by date by PLUMBING Attic 5 Cr C—er , ;c OTHER Groundwork date � '��—�1� b date by WALLBOARD NAILING D.W.V. by date --;V �l� by dateWater Lin FINAL INSPECTION date by date ?� 7_ by date by I�44, �� - Z�—Sys �,� �� - r�o/05 ell «e�P G,I I I'��.• I� �i c�� Mc.,3 `• �i�-- C D.-. ��.-h .,..J ! �1n f/00✓ �'�a.(cJ` I`'y cI ! ^,�4 �L 2,- �/ �cc `I- c feu c ,,�. a w,�, • u MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . : BLD97- 1114 Vor : MIKP NIGKS Page : 1 1 ) 1 h i F. app i tent Ion i r; subject to Eau rfer and 1_andc{cap i ng requ i rement , a,, estr,b I i stied under Mason county Ordinance 1 .03 ,036 R /-1 2 ) The use, handIIng and storage of hazardous materials or fIAminable and combustible Iiquids In excess of 10 ga11oar is riot allowed without the approval of the Mason County Fire Marshal . 8 ) E-roposed structure* or any port Ion thereof greater than 30" in heIQht from grades I ine, must maintain a minimum of 5 ' setback from al property IInes , easem.ents and 10 ' from a I 1 county and State Road right of ways . M 4 ) Appl leant acknowledges that this development Is subje o-.:t to poi ic: les and regulations of Xasoii,�C,k1unty Comprehensive Plan and Development Regulations . 5 The proposed pro Iec:t must be cons i stent w 1 th a I I app i I cab I e po 1 i u i es and rather provisions of the Shoreline Management Act , Its rules , and the Mason County ShareIine Master ( rocirani . x,— 6) A I I approved p I ans are reglr I red to bi.- on --s i t es for i ns ect 1 or► purpose r, . I f i a c n spet 1 o Is called for and plans are not on site Approval WILL NOT be granted . In addition , a Re- I tispe3ot I on fee I n the amount of $32 .06 per hour (m i n I arum 1 hour ) w i It be r:herr qed ants must be collooted by this department prior to any further inspections being performed or approval granted , 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 l MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 HAVE. APPROVED NUMBERS OR ADDRESSES PRt�V i C�EC) 1 N SUCH .A FC)S I i €ON AS 1_0 i3F PL.A I NL Y V I t>I PI.E ANO LEGIBLE FROM THE STAFFT OR ROAD FRONTING THE PROPERTY . MASON COUNTY 10111DING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CAi.LING FOR ANY SITE INSPECTIONS . A RE i NSPECT I ON FEE BA SFD CAN RATES IN TABI E 3A OF THE 1994 UNIFORM ftU 1 LD I NG CODE WILL. BE' ASSESSED IF OWNFA/CONTRACTOR FAILS TO PO;>T ADDRESS ON SITE PRIOR TO REOIJESTING INSPECTIONS . 'i 8 ) The corre,-Jinn list , along with the E:nF-rgy Compliance Workshr.el (when appI Inab1e ' is', part of the plans and must remain attached thoreto . It is the responsibility of the applicant to make corrections Indicated on the plans from the correction Iis�s . Once the plans are marked APPROVED, they may not be changed or altered without authorization from the Buildhig Offlria € -. The permit holder Is reponsible to retain the complete approved set of plans on site for the duration of the project . Failure to comply wiii result In failure of required building Inspect Ions . Every permit shali expire key limitation and become null and vo€d if the building or work authorized by such permit " Is Prot commenced within 180 days from the date of issuance , or If the bui Id1ng or wt7rk authorized by such permits is suspended or abandoneii at any time after the work Is Commenced for a period of 180 days < X �T I ON FA.UST MEET OR EXCEED ALL LOCAL CODES AND ISBC REQU€RFMENT1? X 10) ' Changes to approved bui Idinq pans that affect compf lame to the 1991 washiriyton Sttate Energy Code, 1991 Ventilation and Indoor Air Quality Code, the Uniform Bu i Id i n Code Land/or Mason County Requ € 4 I ons ro,ist be approved by Mason Counk prior to constructionX_ f.c,• 1 1 ) CONSTRUCTION PROrFSS TO BE F I FI D CORPFC tED AS R U I RF�C►. P�"R MASON COUNTY PU I LV I NG DEPARTMENT AND UNIFORM BUILDING CODE . x 12 ) THE BASEMENT OE' THIS STRIICI!'T13F IS CONSIDERED ONHE:ATF.C) SPArC (NOT To EXCEED 1 WATT/SOUARF FOOT OR 3 .4 BTU!HR/1;QUARE FOOT) . AT SOCH TIME THIS CONDITION CHANGES, A CHANGE OF USE PrRfJIT AND ' 1417C;HAN I CAL PFRM 1 T `3HAL_L HE APPL i FD FOR AND APPROVED PRIOR TO THE CHANGE . X t'L'" CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons Gate 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 date by PLUMBING Attic by OTHER Groundwork date b date by y D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by Permit N MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) PLEASE PRINT Michael W. Hicks #t ner Phone# 360-533-5465 Site Address �. IRDL+E- 10 LP Fire District City Union St WA zip 98592 Directions to Job Site 2 miles south of Alderbrock Resort on right side of highway Owner Mailing Address P. O. Box 626 City Aberdeen St WA zip 98520 Lien/Title Holder Kathleen Hicks Address P. O. Box 733 CltyAberdeen SIWA zip98520 N2 Contractor Name Michael W .Hicks Contractor Reg # Address P. 0. Box 626 Expiration Date / / City Aberdeen st WA zip98520 Phone#2 V3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System Septic system design plan approved. (if residential, proof of potable water is required) Will be installed at a later date. 14Xge el No. 32235 - 31 _ 90060e � al Description tr 6 of 90vt to t 3 of sp#1.432 153a 15 Building Square Footage: 1st FI� 600 2nd FI 3rd FI Loft Basement 600 # Bedrooms^_1__ #bathrooms 2 Deck 240 Other Garage Carport _(Circle:Attached or Detached?) t6 Use of building summer cabin Describe work cement footing cement slab basement, block wall foundation, framed cabin, truss rafters, co f, hardy p an sl Ing. V 'WD� t7 Type of Job: New X Add Alt Repair Other P9 EP i8 MOBILE/MANUFACTURED HOME INFORMATION 71997 Model Year Make Model PERMIT ASSISTANCE � Width_ Serial No. ENTER Length #Bedrooms # Bathrooms Type of Heat Purchase Price$ 19 Indicate by circling the applicable source if any water is on or adjacent to subject property: 8S' dd CaAa w a►TfirOY��" P1CCC s Y0/ �,py)F n�r Un u1 hr u Coo Ot c�aU O b d J R A 1 f ti►'� mad } i -dam L) �- rg` d , o 6-rap LV ✓� Y Uniformly Loaded Floor Beam[94 UBC(91 NDS))Ver.V4010633 By: Larry Lauritzen . Lead and Glass Images on:09-12-1997 Project: HICKS-Location: DECK BEAM Summary: 3.50 IN x 9.25 IN x 10.0 FT /#2-HEM-FIR-Dry Use Section Adequate By:32.9% Controlling Factor:Section Modulus Deflections: Dead Load: DLD= 0.06 IN Live Load: LLD= 0.13 IN=L/889 Total Load: TLD= 0.19 IN=L/627 Reactions(Each End): Live Load: RL= 900 LB Dead Load: RD= 377 LB Total Load: RT= 1277 LB Bearing Length Reqd.: BL= 0.90 IN Beam Data: Span: L= 10.0 FT Maximum Unbraced Span: Lu= 0.0 FT Live Load Deflect.Critena: U 360 Total Load Deflect. Criteria: L/ 240 Floor Loadinq: Floor Dead Load: DL= 15 PSF Side One: Floor Live Load: LL1= 40 PSF Tributary Load Span(Side One): TW1= 1.0 FT Side Two: Floor Live Load: LL2= 40 PSF Tributary Load Span(Side Two): TW2= 3.5 FT Live Load Duration Factor: Cd= 1.00 Wall Load: WALL= 0 PLF Average Uniform Live Load: LLave= 40 PSF Beam Loadinq: Beam Total Live Load: wL= 180 PLF Beam Self Weight: BSW= 8 PLF Beam Total Dead Load: wD= 75 PLF Total Maximum Load: wT= 255 PLF Controllinq Total Design Load: wTcont= 255 PLF Properties For:#2-HEM-FIR Bendinq Stress: Fb= 850 PSI Shear Stress: Fv= 75 PSI Modulus of Elasticity: E= 1300000 PSI Stress Perpendicular to Grain: Fc_perp= 405 PSI Adjusted Properties: Fb'(Tension): Fb'= 1020 PSI Adjustment Factors:Cd=1.00 Cf=1.20 Fv': Fv'= 75 PSI Adjustment Factors:Cd=1.00 Design Requirements: Maximum Moment: M= 3192 FT-LB Shear(0 d from beam end): V= 1080 LB Comparisons With Required Sections: Section Modulus: Sreq= 37.6 IN3 S= 49.9 IN3 Area: Areq= 21.6 IN2 A= 32.3 IN2 Moment of Inertia: Ireq= 93.5 IN4 1= 230.8 IN4 10 I Uniformly Loaded Floor Beam►94 UBC(91 NDS))Ver.V4010633 By: Lary Lauritzen , Lead and Glass Images on: 09-12-1997 Project: HICKS-Location: FLOOR BEAM Summary: 5.125 IN x 13.50 IN x 18.5 FT 124F-V3-VISUALLY GRADED WESTERN SPS-Dry Use Section Adequate By: 10.6% Controlling Factor: Moment of Inertia Deflections: Dead Load: DLD= 0.23 IN Live Load: LLD= 0.56 IN=L/398 Total Load: TLD= 0.79 IN= L/281 Reactions(Each End): Live Load: RL= 3700 LB Dead Load: RD= 1543 LB Total Load: RT= 5243 LB Bearinq Lenqth Reqd.: BL= 1.57 IN Camber Reqd.: C= 0.35 IN Beam Data: Span: L= 18.5 FT Maximum Unbraced Span: Lu= 0.0 FT Live Load Deflect. Criteria: L/ 360 Total Load Deflect. Criteria: L/ 240 Camber Adjustment Factor: CAF= 1.5 X DLD Floor Loadinq: Floor Dead Load: DL= 15 PSF Side One: Floor Live Load: LL1= 40 PSF Tributary Load Span(Side One): TW1= 4.5 FT Side Two: Floor Live Load: LL2= 40 PSF Tributary Load Span(Side Two): TW2= 5.5 FT Live Load Duration Factor: Cd= 1.00 Wall Load: WALL= 0 PLF Average Uniform Live Load: LLave= 40 PSF Beam Loadinq: Beam Total Live Load: wL= 400 PLF Beam Self Weiqht: BSW= 17 PLF Beam Total Dead Load: wD= 167 PLF Total Maximum Load: wT= 567 PLF Controllinq Total Desiqn Load: wTcont= 567 PLF Properties For: 24F-V3-VISUALLY GRADED WESTERN SPS Bendinq Stress: Fb= 2400 PSI Shear Stress: Fv= 190 PSI Modulus of Elasticity: Ex= 1800000 PSI Ev= 1600000 PSI Stress Perpendicular to Grain: Fc_perp= 650 PSI Adjusted Properties: Fb'(Tension): Fb'= 2400 PSI Adjustment Factors:Cd=1.00 Fv': FV= 190 PSI Adjustment Factors:Cd=1.00 Design Requirements: Maximum Moment: M= 24249 FT-LB Shear A d from beam end): V= 4605 LB Comparisons With Required Sections: Section Modulus: Sreq= 121.3 IN3 S= 155.6 IN3 Area: Areq= 36.4 IN2 A= 69.1 IN2 Moment of Inertia: Ireq= 949.8 IN4 1= 1050.7 IN4 l J i j Square Footing Design f 94 UBC(91 NDS)1 Ver.V4010633 By: Larry Lauritzen . Lead and Glass Images on:09-12-1997 Project: HICKS-Location: BASEMENT PIER Summary: Size:2.5 FT x 2.5 FT x 10.00 IN "Footing has been designed without reinforcement. Footing Loads: Live Load: PL= 5200 LB Dead Load: PD= 1920 LB Total Load: PT= 7120 LB Ultimate factored load: Pu= 11528 LB Footing Properties: Allowable soil bearinq pressure: Qs= 1500 PSF Effective soil bearinq pressure: Qe= 1375 PSF Concrete compressive strength: F'c= 2500 PSI Selected Size: Length: L= 2.5 FT Width: W= 2.5 FT Area. A= 6.25 SF Ultimate bearinq pressure: Qu= 1844 PSF Column Base Dimensions: Lenqth: 1= 6.00 IN Width: w= 4.00 IN Footing Size Selection: Required footinq area: Area= 5.18 SF Minimum footing size required: Lreq= 2.28 FT Footing depth based on shear stresses: Selected footing depth: D= 10.00 IN Punching Stress Calculations: Critical perimeter: Bo= 60.00 IN Punchinq shear: Vu1= 8659 LB Punchinq shear stress: vu1= 22 PSI Allowable punching shear stress: vc1= 200 PSI Beam shear stress calculations: Beam shear: Vu2= 1153 LB Beam shear stress: vu2= 6 PSI Ili Allowable beam shear stress: vc2= 100 PSI Bending Requirements: Factored moment: Mu= 32471 IN-LB Nominal moment strength: Mn= 81250 IN-LB Square Footinq Desiqn f 94 UBC(91 NDS)1 Ver.V4010633 By: Lary Lauritzen . Lead and Glass Images on:09-12-1997 Project: HICKS-Location: DECK PIER Summary: Size: 1.5 FT x 1.5 FT x 12.00 IN "Footing has been designed without reinforcement. Footing Loads: Live Load: PL= 1800 LB Dead Load: PD= 675 LB Total Load: PT= 2475 LB Ultimate factored load: Pu= 4005 LB Footing Properties: Allowable soil bearinq pressure: Qs= 1500 PSF Effective soil bearinq pressure: Qe= 1350 PSF Concrete compressive strengths F'c= 2500 PSI Selected Size: Length: L= 1.5 FT Width: W= 1.5 FT Area: A= 2.25 SF Ultimate bearinq pressure: Qu= 1780 PSF Column Base Dimensions: Lenqth: I= 4.00 IN Width: w= 4.00 IN Footing Size Selection: Required footina area: Area= 1.83 SF Minimum footinq size required: Lreq= 1.35 FT Footing depth based on shear stresses: Selected footinq depth: D= 12.00 IN Punching Stress Calculations: Critical perimeter: Bo= 64.00 IN Punchina shear: Vu1= 841 LB Punchinq shear stress: vu1= 2 PSI Allowable Punchinq shear stress: vc1= 200 PSI Beam shear stress calculations: Beam shear: Vu2= 0 LB Beam shear stress: vu2= 0 PSI Allowable beam shear stress: vc2= 100 PSI Bending Requirements: Factored moment: Mu= 5451 IN-LB Nominal moment strength: Mn= 70200 IN-LB i I I I Plumbing Fixtures ($3.35 eachl Fee Mechanical Fixtures ($6.75 each) No. 2 Toilets 6 70 CIRCLE FUEL TYPE: Gas Electric, Bath Basins 6.70 Heatpump, Other _Bath Tubs No. Units Fees 2 Showers 6.70 _ Furn _BTU 1 Hot Water Htr 3.35 _ Heatpumps Laundry Washer 3•35 _ Vent Systems Sinks 3.35 5 Spot Vent Fans j 3- 25� _Floor Drains No. Boilers/Compressors Laundry Basins 3.35 _ HP Dishwasher 3.35 No. Air Handling Units Disposal 3.35 _ 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 $56.95 No. Other Gas Outlets 83 Woo( Gas Pellet Stove -�� py- JOTICE: THIS PERMIT BECOMES NULL AND VOID IF YORK OR CONSTRUCTION AUTHORIZED IS NOT COM- AENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 16.75 YORK IS SUSPENDED OR ABANDONED FOR A PERIOD OV ?F 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $�— AENCED. PROOF OF CONTINUATION OF WORK IS BY AEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- 1 CERTIFY THAT I AM A CURRENTLY REGISTERED RENTS 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- JRDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED AIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE ;ONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING FHE BUILDING DEPARTMENT. DEPARTMENT. Mi�W. OWNER X BY SATE 9/15/97 DATE -OR OFFICIAL USE ONLY: Accepted by: pate: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY i' Approved Cond. Hold Approval Planning: 1Yy a)TIAL Af--�AS � Ts Environmental Health: 1 t-13 A Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES 400 x r S• sn = 9�3 0o Building Permit (Poo Plan Check ra8. Plumbing Fee Mechanical Fee , o0 Woo as ellet Stove 33 o O Violation Fee Site Inspection Building State Fee Other c�2 Other Other Building Valuation: 3 8 r SSZ�D TOTAL FEE 3 , ��S Plumbing Fixtures ($3.35 each) Fee Mei;hanical Fixtures ($6.75 each) No. _Toilets CIRCLE FUEL TYPE: Gas, Electric, I _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 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 DEPARTMENT. DEPARTMENT. X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: M. S :_�-� 1+� v 'r•:: yr. • Ne� LI _ ... Ir '. ... o° ►i 14 p _ CD . fD. EL � cD JCrTCS:l, (•vAT9A PKMF ALL O = 5w� 9b-o��S C cvj cD Tp�K� WsTFlin1 $b' 3zti35- 31- 900(,0 �y OF tay+T>rK d . z. MOUE st.rEVE -r"106poeX 4 WATe2 H UfUES w00E2 f+.4 I, lot, (uNrMt:� tong pE1Zr�T CA SE ACAVIUC6 . 3. iD056 tr t4EIQ QE au raen IIJ