HomeMy WebLinkAboutBLD N/A SFR - BLD Application - 6/7/1993 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME /iJ MAILADDRESS CITY 1,STATE ZIP PHONE
OWNER zl i- a
DIRECTIONS nn ff " — �j
TO JOB SITE / t -r'� C ID e` al
ff
PARCEL LEGAL
NUMBER lv DESCR. G- G IV
NAME MAIL ADDRESS CITY 8 STATE zip PHONE LICENSE NO.
CONTRACTOR Si� •,o � -�,y`
USE OF a
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK ) Q,•i / L.
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCEgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT.., SgFt BEDROOMS PRIMARY RE S THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS $ Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
q ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
.CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE HVa SgFt ATTACHED XDETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL 'BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER �tE / XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT Y SAPPROVED O DEPARTMENT YESPPROVENo BUILDING VALUATION
r
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP jam, PRE-INSPECTION
rr ii
WOODSTOVE
PLUMBING .
MECHANICAL J
STATE BUILDING FEE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER oa ¢ A, -er Nes,' t� e- ` zgm J- J
DIRECTIONS t 4
j /f
TO JOB SITE I O� p�� u-�� �lyi?N� -. L n / 't
� -
LEGAL )
DESCR. L° l /pR Q I1v/3') OOU b
CONTRACTOR NAME MAIL�ESS j CITY&STATE LICENSE NO. ZIP PHONE
USE OF -[dL✓/
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS ov FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS p FLOOR/SUSPENDED FURNACE 6.00
BATHTUBS d-v BOILER/COMPRESSOR 6.00
SHOWERS d(j REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
% SINKS HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS. -HO PER UNIT
LAUNDRY TRAYS FIRE SUPPRESSION 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE t3`O0 PERMIT BASIC FEE
TOTAL / TOTAL
SPECIAL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR COASTCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED.
OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE
COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE , jrjc RATE X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
IBY CASH CK MO
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER
NAME MAILADDRESS CITY BSTATE ZIP PHONE
(RSY)
DIRECTIONS LL //
TO JOB SITE D t/ SL'..` 01,�-U o//-Pz/ V�p
nr%v► 2iu_
PARCEL LEGAL
NUMBER DESCR 2
Indicate below: O'Property lines and dimensions.
1 S �U / m"Easements and roads.
4 Or Septic, drainfield and reserve area, or sewer.
d O-Septic tank and drainfield setback distances from foundations.
C� O'Location of proposed construction on property.
O'Building & septic system setback distances from all property lines & easements.
Indicate North Well and water line.
In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage.
6/'�ttach copy of septic system"as built" or septic permit approval
O Indicate topography profile of property and structure on reverse side.
6I� 7 I r
/ I ! E
ell
t N -t
h� I 5 eie I
Ili
Ili �
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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
SIGNATURE OF OWNERS) R U H I 0 REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE ,
APPROVED__
� .. TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
' E
Ell
� I.
i
.1991 WASHINGTON STATE ENERGY CODE
AND
VENTILATION AND INDOOR AIR QUALITY
SINGLE FAMILY= RESIDENTIAL APPLICATION
Site Address 1C/��3/ ��,,,`�„ �(` �� Parcel# j2: 213 04292z�
Lot Subdivision
[mewResidence [ ]Remade[
[� [ ]Addition. ..
Area(sq. %): 1 st Story 2nd Story Basement
Compliance Method
[ )Prescriptive — Indicate option (sae attached sheet) [JI [JII []III [ ]IV [ JV [ ]� [ ]VII [ ]VIII
[ ]Component--Attach documentation and calculations
[ ]Systems Analysis Attach documentation and calculations
Heat System
[ ]Electric (Electric Resistance)
[ ]Forced Air [ ]Wall Heater VjOthe
n�a ��e P> (Q r, ,r r��e►
[ ]Baseboard [ ]Radiant
Make Model Size (KW)
( )Other
[ ]Gas Furnace [ ]Oil Furnace [ ]Heat Pump [ )Other P,d;n,,)
Make Model
Size (BTU) AFUE HSPF
Ventilation System
[ ]Non-Heat Recovery Ventilation
[ ]Spot and Whole House [ ]Central Ducted [ ]Integrated with Furnace
Whole House Fan: .
Make. Model Size (CFM)
[ ]Heat Recovery Ventilation
[ ]Air to Air Heat Exchanger
[ ]Heat Recovery Heat Pump
Make Model Size
Attach 1) Window Schedule
2) Heat Loss Calculations
Radon
A three-month etched track radon monitor will be provided (by builder).
ACKNOWLEDGE:
S
1991 WASHINGTON STATE ENERGY CODE
AND
VENTILATION AND INDOOR AIR QUALITY CODE
-- -------__--. PPESCRHa1W- -PATHS
OTHER FUELS (GAS, OIL, HEAT PUMP)
HVAC• Glazing wail wan Intl wan ext' Slab#
Equip. %Hoar Glazing Doors Vaulted Above Below Below on
Option Effie. Area U-Value U-Value COWN2 Ceiling' Grade Grade' Grade Floor Grade
I. Lied. 10% 0.70 0.40 R-30 R-30 R-15 R-15 R-10 R-19 R-10
II. Med. 12% 0.65 0.40 R-30 R-30 R-15 R-15 R-10 R-19 R-10
III High 21% 0.75 0.40, R-30 R-30 R-19 R-19, R-10 R-19 R-10
-•: :.({�::...„y;rv.!:..: <•$yy�.�a-•, -?a'??ii !..,;...,r,,..�,;.:}.. .;,'S,'�y�•/`. r..�?... ...v,.,tyn;:,•x...,,,...:"•:�:3'. ••r,;:;..;o•c...:,.;..;
�,�,.::...:::..: :� ���_::�::�;�?€tF::�. ..�::>�=3i>'.<:; -its .:,,.�: :��;:;:;•: .:: :;.>:<<::<:.:.�:.;•:: 1.5:':.:: :R-�Q::., Reference case
.:.>.,,s::...,:.:.,,...,.:.c:...:.:.:,F•"ixlbo.•,...::::..,....:�Mc• :,,::..sG..'Sa..:•:::...,.:.wkc�tQa.,..;:s�.:rS
�V. Low 21% 0.60 0.40 � �R-30 R-30� R-f9 •R-19 . R-10 R-19 R-10
VL' Mad. 25% 0.50 0.40 R 38 R-30 R 19 R-19, R-10 R-25 ; R-10
Vil? Mad. 30% 0.45 0.40 R-30 R-30 ' R-19 R-19 R-10 1R-25 R-10
1 Miwrtxxn requi—sm for each option listed. Fw axarrple.i a proposed design has 5 Floors over crawl spaces or exposed to arnb;wd air conditions.
a glazing ratio to the oonditiorwd Ybor area of I M it shall oorrply with all of the
requirernerhb of the 21%glazing option(w highter)• Proposed designs which cannot 6 Required slab perimeter insulation shall be a water resistant materiat,manufactured
meet the specific requirements of a listed option above,may calculate corrpiu oo for its intended use,and installed according to manufacturers spectraticns. See
by Chapters 4 or 5 of this code. section 602.4.
2 Require.mm applies to all osflinps except single rafter or joist vaulted ceilings, 7 These options shall be applicable to buildings less than three stories.
'AdV donobes Advanced Framed Ceiling.
a This wall insulation required w denotes R-19 wall cavity insulation plus R-5 foam
3 Requfreenhent appl only to single rafter or joist vaulted ceilings. sheathing.
4 Bellow grade wale shall ba insulated either on the axtarior to a minimum level of R- 9 Minimum WAC Equipment sfrcierhry requirornent. 'LoW denotes an AFUE of 0.74.
10,or on the interior to Ow same level as wells above grade. Exterior insulation Wed denotes an AFUE of 0.78. 7fph'denotes an AFUE of 0.88.
installed an below grade wells share be a water resident material,manufactured for
Is intended use,and installed according to the nrnuladurels specrrationa. See
section 6022
ELECTRIC RESISTANCE HEAT
Giazklg wall wall int' wail ext' Slab#
%Floor Glazing Doors Vaulted Above Below Below on
Option Area U-Value U-Value Ceiling: Cenjnga Grade Grade Grade Floor Grade
I. 10% 0.46 0.40 R-38 R-30 R-21 R-21 R-10 . R-30 R-10
11. 12% 0.43 0.20 R-38 R-30 R-19 R-19 R-10 R-30 R-10
ill 12% 0.40 0.40 R-38 R-30 R-21 R-21 R-10 R-30 R-10
�:ky: '2°; ";-.t,:`,: .::s:^;c::;: :.vz•.•;-'�-`.•',-.,; •:.as.:x?? :::;r` ;:rig;,'•%?s.';' 2 •:"-.`;": 2aG,•M;v }?
�' I:��cae3�,«u,�,,,,....,:.�:;i�i;�!1�«.�,>...,,.�:�O�h�;:�s +�:.�:w•::�'.'1..Q::f:.;,�;,;#i�;:T�i�;i;�z;;:r:,y.�ew�'�`:«:��,:�#��1.�<{;, Z;�'�;.•,a;;u„',;�1#� Reference case
V. 189G 0.39 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
V1. 21% 0.36 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
VII.y 25% 0.35 0.20 R-38 R-30 R-19+R-5s R-21 R-10 R-30 R-10
V111.7 30% 0.32 0.20 R-38 R-30 R-19+R-59 R-21 R-10 R-30 R-10
1 Mini n rnrequsemnsnb.for each aption Gated. Fw axampla,if a prcpowd design Me5 Floors over crawl apse"orexposed to arnuom air conditions.
a glazing ratio to the owwo,- a,allow area of I l shell comply with all of the
requinnhrhb of the 21%glazing option(w highter). Proposed design which cannot 6 Required slab perimeter insulation shall be a water resistant material,manufactured
now the spsoiFio requiroo m of a ided option above,msy celau We compiance for its intended use,and installed soconling to marhufacturers
by Chapters 4 or 5 of this code. section 24. specifications. Sao
2 Re tuiremrnts applies to an osilings except single rafter or joist vaulted ceilings. 7 These aptions shall be applicable to buildings Was than three stories.
'AdV denotes Advanced Feu. Ceiling.
8 This well insulation requirerrhent denotes R-19 wad cavity insulation plus R-5 foam
7 Requinrtent applicable only to single rafter or pit vauhed ceilings. sheathing.
4 Below grade web shay be ieulalsd either on the exterior to a minimum level of R.
10,or on the interior to the same level as welts above grade. Exterior insulation
istalled on below grade wale shall be a water resistant mae",manufactured for
is into nee,and installed according to the manufacturers speciiwions. See
section 6022
MASON COUNTY BUILDING DEPARTMENT
-- -- WINDOW SCHEDULE
WINDOWS (group same size windows on one line)
How
Brand Model r U-Value Many Size Area (Sq. R.
L�
tr �� 3030 .
TOTAL WINDOW AREA (A)
SKYLIGHTS
How
Brand Model U-Value Many Size Area (Sq. R.)
TOTAL SKYLIGHT AREA (B)
TOTAL GLAZING AREA (add A+B) P
DOORS (from heated space to unheated space)
How
Brand 40091 U-Value Many Size Area -(Sq. Ft.
c ,�„ T—,
TOTAL DOOR AREA
WHEN RECORDED MAIL TO :
TRANSCENTRAL MORTGAGE , INC .
708 E . AUSTIN STREET
GIDDINGS , TX . 78942
s
[Space Above This Line For Recording Data]
8185806
DEED Or TRUST
THIS DEED OF TRUST ("Security Instrument") is made on MARCH 22, 1993 The grantor is
THEODORE H. FLECKNER AND MARY A . FLECKNER, HUSBAND • AND WIFE
("Borrower").
The trustee is OLD REPUBLIC NATIONAL TITLE INSURANCE ,
A M I NNESOTA CORPORATION ("Trustee").
The beneficiary is TRANSCENTRAL MORTGAGE , I NC . ,
A TEXAS CORPORATION ,
which is organized and existing under the laws of TEXAS and
whose address is 7 08 E : A U S T IN STREET ,
GIDDINGS , TX . 78942 ("Lender").
Borrower owes Lender the principal sum of
SEVENTY NINE THOUSAND FIVE HUNDRED AND NO/100---
Dollars (U.S. $ - 79 , 50'0 . 00 ). This debt is evidenced by Borrower's note dated the same date as this Security
Instrument ("Note"), which provides for monthly payments, with the full .debt, if not paid earlier, due and payable on
APR I L 1 , 2023 . This Security Instrument secures to Lender: (a) the repayment of the debt
evidenced by the Note, with interest, and all renewals, extensions and modifications of the Note; (b) the payment of all
other sums, with interest, advanced under paragraph 7 to protect the security of this Security Instrument; and (c) the
performance of Borrower's covenants and agreements under this Security Instrument and the Note. For this purpose,
Borrower irrevocably grants and conveys to Trustee, in trust, with power of sale, the following ,described property
located in MASON County,'Washington:
LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF .
y
which has the address of
5 'U V NE 31 UNION RIVER -ROAD, BELFAIR
(Street) _ (City)
Washington 98528 ("Property Address");
(dip Code)
TOGETHER WITH all the improvements now or hereafter erected on the property, and all easements,
appurtenances, and fixtures now or hereafter a part of the property. All replacements and additions shall also be covered by
this Security Instrument. All of the foregoing is referred to in this Security Instrument as the "Property."
BORROWER COVENANTS that Borrower is lawfully seised of the estate hereby conveyed and has the right to
grant and convey the Property and that the Property is unencumbered, except for encumbrances of record. Borrower
warrants and will defend generally the title to the Property against all claims and demands, subject to any encumbrances of
record.
THIS SECURITY INSTRUMENT combines uniform covenants for national use and non-uniform covenants with
limited variations by jurisdiction to constitute a uniform security instrument covering real property.
UNIFORM COVENANTS. Borrower and Lender covenant and agree as follows:
1. Payment of Principal and Interest; Prepayment and Late Charges. Borrower shall promptly pay when due
the principal of and interest on the debt evidenced by the Note and any prepayment and late charges due under the Note.
WASHINGTON - Single Family Page 1 of 5 Form 3048 9-90
Fannie Mae/Freddie Moe UNIFORM INSTRUMENT (8=91) T-12090-31
That portton of the East half (E 1/2) of the Northwest quarter (NVI 1/4 of
Section twenl:ynine (29) , Township LwenLyLhrce (23) North, Rance one (1 ) 41est,
W.M. , described as follows :
BEGINNING at a point: on the West line of the East half (E 1/2) of the Northwest
quarter (NW` 1/4) , 985.00 feet North 1024' 18" East of the Southwest corner of said
Cast half (E 1/2) of the Northwest quarter NW 1/4) and the POINT OF BEGINNING of
the tract of land hereby described; thence North 1�24' 18" East, along said West line,
315.00 feet; thence South 6900B' 57" East 405 feet, more or less , to the Union
River; thenc@ Southerly, along said river, to a point which lies South
8900B' 57" East of a point 1015.00 feet North 1024' 10" East of the Southwest corner of
said East half (E 1/2) of the Northwest quarter (1dW 1/4) ; thence North
89000' 57" West, 180 feet, more or less , to the centerline of an existing easement
road; Lhence South 10037'06" East, along said centerline, 30.G1 feet; thence North
89008' 57" West, 274 . 19 feet, more or less, to the POINT OF BEGINNING; exceptincl
therefrom road rights-of-way.
Parcel Nos. 12329 23 00030 and 12329 23 00090.
TOGETHER WITH a perpetual , non-exclusive casement, 20 feet in width, over and
across the East half (E 1/2) of the Southwest quarter (SW 1/1) of Section
Lajentynine (29) , Township Lwentythrce (23) North, Ranee one ( 1 ) West, W.M. , as
disclosed in instrument recorded January 25, 1936, Auditor' s File Ho . 7G930.
TOGETHER WITH and SUBJECT TO a perpetual , non-exclusive easement for road and
utility purposes , over and across the East half (E 1/2) of the Northwest quarter
(1,11.1 1/4) of Section twentynine (29) , Township twentythree (23) North, Range one
(1 ). WesL, W.M. , as disclosed in instrument recorded September 22, 1980, !Auditor' s
File No. 3815-13 .
i
SS DISC MOM, 11992) JC J�./D / 23�� PIN,I j Y I • !"/ • `•�I W
THIS SURVEY Z
LEGEND o
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EXISTING EASEMENT 1
a
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y (PRIVATE) I rA r �p1H 4
vErAr ut
Q= EXISTING LOAN
'Lt0 iu l o sEnrrc
w a, DRArNFIELD MASON COUNTY, WASHINGTON
l0.20' m A69'08'57'b' 70.00,
S89'08'57'E 10.20, I 90.00, ` 12329-23-00080// 12329-23-o00517
Tax no.
9'r
• 263.99• — 10'37'05'M
1 ��I�TO
TED FLECKNER
t P.O. BOX 1057
AURTH ShVwe; BELFAIR, HA 98528
O qA !62 !s3 vanHo�n ROAD (PRrvaTE EASE.) PHONE' 275_5956
'!FORMATION
COR. OF EAST! LWatlm:
/2 MY r/� a
t33t.99 2 E 1/. NW 1/4
1332.00' SEC.29. T23N,R1M,
Nothlnq can De constructed, Aalntained or suffer to De constructed or mainteined wlLhln
S 69 OB"57" E 29 f00 feet of the rater source that could constitute a
W as septic tanks• drainfields, sewer lines• undergroun0 storage LankSotentiai e Darns of ,tfeedastatidsuch fit:TRA-TO�TE�r_ _
enclosures for maintaining forl or animal or their manure, lipuio or dry cnemical storage, O°m FAK I "� - .ioe Ho 95-655
herbicides, Insecticides, hazardous wastes• or accumulations of uncontainerized gestora 1 -100 sT 1 1
95655.PRO
Q' •