HomeMy WebLinkAboutBLD94-0245 Final SFR - BLD Permit / Conditions - 10/31/1995 --------- ------ -
--A MASON COUNTY
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. . . Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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Footings-Setback date ,•1 C,-/n 4j- by Ribbons
date by 4-� Gas Piping date by
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date LAD by date by date by
FRAMING I I/z/ ajy D dK' Walls FIRE DEPT.
date by date by
PLUMBINGdate by Attic OTHER
Groundwork
date i� !o-2 5-�'�/ b ( �.� date `� Xc, c � by P�
D.W.V. I I-Z i -��/ o k crv_ ' ��0 ;.� WALLBOARD NAILING
date c— > - by date by
Water Line FINAL INSPECTION
date by date 1 1G — by Ll 1 S-q a e by
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
For MArVTNNUN ' ON
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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SEC Compliance
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mance c Date of Permit Application
System Analysis Requirements of WSEC? Permit
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Date Buildin � -02
❑ Yes ❑ No If Date of Insulation
1 Issued
utility may offer incentive.) Date of Finalation Ins
J hereby ection
y certify that this Ins ection
I the 1991 Washington bui/ding or addition ZO - - � 3 the WSEC/ an 9ton State Energyhas been ins
hat the WSEC (WSEC petted for the measures re
checklist for �, that it is in s0,01
ubstantia/tom required
this building is on file. p/lance
Sig atu of Buildin with
g Official or Authorized Re
■ Building Presentative _ f
g Depaent:Return111 Date
■ Owner or Building pea white COPY to
■ Building Department:p ►ment:Fo Gail Burris,Washington
Retain rward canary,copy to the State Energy ain pink Copy for jurisdiction's servicing gY Office, P.O.Bo
g electric utilit X 43165,Olympia, WA g850 -
building file. y to triggef WS 4 3165.
EC compliance payment.
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DESIGN FORM - PAGE ONE
Designer: Mike Jerkovich
Applicant: Mike Jerkovich
P.O. Box 1837
Shelton,WA 98584
(206)427-7219 D E
'UPE
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PARCEL IDENTIFICATION V
U1 MAR 17 1995
Permit Number:
Property Owner: MACKINNON CONSTRUCTION GENERAL SERVICES
Mailing Address: PO BOX 865
BELFAIR,WA 98528
Assessor's Parcel Number: 123305000063 Subdivision: B EA R DS C O V E
DIV 3 LOT 63
DESIGN PARAMETERS M.asO
{ } Mound �8 6ggp4 Befit• Health Set{ X } Subsurface V�CeS
{ X } Pressure J @�
Initials
{ } Gravity
{ } Bed Date
{ X } Trench �)
Septic Tank/Drainfield Specifications
Designed Vertical Separation: 20
Number of Bedrooms: 3 Pressure Distribution? YES
Daily Flow (gpd): 360
Septic Tank Capacity (gal): 1200 Laterals
Receiving Soil Type(1-6): 4 Schedule/Class: 40
Receiving Soil App. Rate(gpd/ft2): .6 Length (ft): VAR.
Trench/Bed Bottom Area(ft2): 600 a41-,S, ��- `hr,03-L9,A'4-�f
Trench/Bed Width(ft): 3 Diameter(in): 1. 25
Trench/Bed Length(ft): 200 Number: 4
Separation(ft): 10
Elevation Measurements
Orig. Drainfield Area Slope(%): 12 Orifices
Final Drainfield Area Slope(%): 12 Total#of Orifices: 68
Depth of Bottom of Trench/Bed Diameter(in): 3/16
from Original Grade(in): Spacing(in): 36
Upslope: /Y 10,E
Downslope: 6. 5 Manifold
Schedule/Class: 40
Infiltrator Used? NO Length(ft): 30
Pump Required? YES Diameter(in): 2
Pump/Siphon Specifications Transport Pipe
Difference in Elevation Between Pump Schedule/Class: 200
Shut-off&Uppermost Orifice(ft): 15 Length(ft): 55
Diameter(in): 2
Uppermost Orifice is HIGHER
than Pump Shut-off Dosing&Pump Chamber
Capacity @ Tot. Pressure Head(gpm): 40. 12 ✓/#of Doses/Day: 3
Calculated Tot. Pressure Head (ft): 19.74 Dose Quantity (gal): 120
(see attached pump curve) Chamber Capacity (gal): 300
Check the following components if they drain
between doses:
{ X } Laterals
{ } Transport
{ X } Manifold
J
DESIGN FORM -PAGE TWO
DESIGN CHECKLISTS
Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch
[ X ] Test hole locations [ X ] Drainfield orientation Reference depth from
[ X ] Property lines &layout original grade:
[ ] Existing&proposed [ X ] Trench/bed dimensions& [ X ] Septic tank lid&
wells withing 100' critical distances drainfield cover
of property lines within layout depth
[ X ] Critical distance [ ] D-box/"T"/"L" locations Reference depth from
measurements to [ X ] Septic tank/pump chamber original grade&
cuts, banks, surface [ X ] Observation ports restrictive strata:
water [ X ] Cleanouts [ X ] Laterals/trench/bed
[ X ] Location&orientation [ X ] Manifolds top&bottom
of curtain drain&all [ X ] Orifices [ ] Curtain drain collector
absorption area [ X ] Lateral placement [ ] Sand augmentation
components [ X ] Audible/visual alarm [ X ] Observation ports&
[ X ] Location&dimension referenced cleanouts
of primary&reserve [ X ] Scale of drawing Additional mound information:
[ X ] Buildings Additional Mound Information [ ] Upslope&downslope
fill width
[ X ] Direction of slope [ ] Endslope width
indicator [ ] Overall fill [ ] Settled cap depth at
[ ] Waterlines dimensions center&edge of bed
[ X ] Roads, easements, [ ] Sidewall slope
driveways&parking [ ] Up/down slope bed
[ ] Critical resource lands elevation
[ X ] North arrow&scale of Mason 6AUnty ge
drawing At. Health Services
VD
Initials
Date
DESIGN APPROVAL
The undersigned designer does not waive the requirement to be notified
by the installer of the installation and given 48 hours to perform a final inspection prior to
cover.
Designer Date
The undersigned has rev' wed and appro this design on behalf of Mason County of Health Servics.
----- -------------- - --- a` x---
ea h Inspector Date
CAUTION:THIS DESIGN IS ONLY VALID IF STAMPED "APPROVED" BY MASON CO. DEPT. OF HEALTH
C7� O T'4lArmit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 ,&
PLEASE PRINT
#1 Owner Ma�nxzvh Phone#
Site Address Fire District#
City e k j« t,r Sa-'c St Zip
Directions to Job Site 1_sz"rr _ -��_��� t-�,u Ez Ss4 LP-14 is C(�
T�
Owner Mailing Address
City G�e.L-�.` r- St Zip
Lien/Title Holder C�nc irk.- :L%.. nL
Address
Clty St Zip
#2 Contractor Name Cb rn L_ . Contractor Reg#Mc.c-L i L(o (.i 7_
Address Expiration Date � / l L
City _ 'e St Zip Phone#
#3 If septic is located on roject site, include records.
ptic?Connect to Se Public Water Supply Well
Connect to Sewer System? Name of System 1��t'� C�.� `_�ke-r-
(If residential, proof of potable water is required)
#4 Parcel No. �31-33-b - S__0 - c5by �3
Legal Description Z�;, J 3 1_ 4 Cfl� �e otS C�p�
#5 Building Square Footage: (existing/propos
1st FI / y 2nd FI d FI / Loft /
Basement / Deck #bedroo / #bathrooms
Garage / '-W Carport / (Circl :Attached o Detached?)
Other sq.ft. /
#6 Use of building S)C� �u Describe work
#7 Type of Job: New _Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length
edrooms # Bathrooms Type of Heat
Purchase Price$
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
Riv ream et and ace -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
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
SS
to P�'poseo� (� c
OF
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3$3 eachl Fee Mechanical Fixtures ($6 each)
No. a Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other CerADk
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 15.00 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ . 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 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ 115
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 OF THE 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
O)C + FiCtAL tJf�Ol "Y . D
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: nnn
Environmental Health:
Building Plan Review
Occupancy Group: -3 m- Type of Const: 5- 7tJ
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check Ct?j
Plumbing Fee a
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee q 50
Other
Other
Building Valuation: 7 7, S3 TOTAL FEE