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Home My WebLink AboutBLD93-0854 Cancelled SFR - BLD Permit / Conditions - 7/27/1994 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 it 1 1, F.) 11- r4 it 1 it 0 If I fo 4;!7 B1093--1854 PAk"t t - I tit K 0 k A()D 1t 1� r NU 1 %00 t.ARSON t AKE kt 6 V t FAIR VII N f P �O 0 It fi 0444-6 �ew'rn<an Newy-naf) f:I,j,41 RAC f Of; fiTf Pl*N JOHN,,-;ON I lttlt: - 512 I f-11:jAI MAM C#Vf 61V Pti: 1.01 66 FS 1> i VE IS1 i LA f vJ 0 k I. NI-t! 3 ( A I II TYPE ANotiol BY pAlt Rttim IIYI,f Moll 81 pAlf RIMPT 'I Y P E OF U<IE I 1 '0 MONT $ 00 if 11029/�4 -:1493) pe�cfjp ' cwolir fit Ma 1 tdl I . lyl-If, OF CONI; j til I I of i OCR fW 010004 Oivl. UP L QA0 t4 P f-.C 1 1,1)N A k k-A I If 1 i iPdl 14 4 4h to Im 4 1 i f it f A 1 101 r111 VH A C k 0 11 i t Fi I I I I Il. I FON I W g, I 43 1 14A I t' N PFAk 1 1. i 01 1, 13rtTIf I lit" 0 MIMI t t I: I P 0 t I P, 1 001, 1 11 1 0 MAr (CIA I 1--P 111. 4 1 It I I I i I- A K I 'I C IA 1: IN :I I N 1" 1 fir IN I f I I M I I tt I I Zr t'l fil"k, (IRA I N'J',, F INJ I I f M, A 1 Nf* I If 0 0 T N Cc - I I t City I m�- I N'f, .1 0 V 1 14 1 r AN" N-f Nf i N I v 1 61 # lit . . . . . . 1! HANIl I I NI, 11 f4 1 1 1 M tit I I htl J 111 0 A P-P"' 14 V I J1 I''j3 I) I Al 0 10000 1 tit 0 1`1 I o I 11 A'l /11 1 tit' I HAI 1 0 0 0 41 lilt 0 1 1;1 k IIN I I I x I I I k I. It - (111 1 1 1 1 si ef-iolf,jOlf S(k Ipj loll RE SIDE Al'V ROAD. pli;t4f 00 1400 lit IM ON I-ARSON 8[V0. 11601 ON 1,ARSON I AVE THIS FIRNIT EIVC(INfS NOtt AND VOI 0 If WORIl 09 rONSTRUCTIP AUTROR3141ED is NOT (ONAfN(fe WITHIN Ill DAYS, 09 If (ONSIRO(TION OR, WM is '�Umo FO FOR A p[0119 Wt011 DAl'i AT Akf itAt Al'IfR 4091 15 1101"i Co Vjkflff 11F 101 0# 13111119 THE (i(I 1111111i, Nlipfc1lolt Lit Npk(fo f — 14IJAT1'1 �'f W01 IS A PPMRE�S f#M(ff t8f PAI( pflif Ap'FROWD MORE Efultl)106 tAN v"-w4plFO. ct-D OWNER OF Afil.91: DAlt : CoMPIL 1AN.CL 141 At IACHU 1) CONO 1 11,/aw; CONCRETE MECHANICAL MOBILE HOME Footings-Setback date - 5 by Ribbons date by Gas Piping date b Foundation Walls date by Set Up datb _ by INSULATION date by G/SLAB Insulation Floors Final date /j-jq by L date by date by FRAMING Walls FIRE DEPT. date / —S- - by t -� date - - by ( date by PLUMBING Attic OTHER Groundwork date 3-/t�—g by date0-�- 7- -5�/ b D W WALLBOARD NAILING - c by date I-30- 'l-( by c- date Water Line FINAL INSPECTION date `j L by G `� date 3 - fs by t J date by 4I � e73 to D LAfA W�L � S ( T'-�..2 �/1 cX d •r- �(� r�, n /i n � ��c, � C c n/1 c c T< G. � l �Y dD MASON COUNTY Mason County Bldg, 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 14. 0 t4 4 1 0 'i 0 A hyl A ) ) he use handling dHd stormqw of hnAardous matvriain -r llamm"KH o"d vomb"clibi liquids in excesw of 10 ctaklottw i , not allowed without the al,pro-01 OF 1hp Nano" Fire Marshal , Z ) hiopu"nd Gttucturq or my portion th te I qrpatot than AO" in hviqht from qvAdp line , 111HU-Makthin a minimum 51 "erb"N WOM All pi "porly li "PN . Pawomp"In and ; iqhI of 70ays 3 ) All appro"ed plans are rpqrrir -d to A- on nicy for in,pncti -tt ptirpow-n if inspection is nailed for and plant ar" "of ort qjV0 . Approval Will No ! he qrp"t"d In additio", it He- JnqpPcijnn fee in the amot-tot of $&o oy per hour iminim"m I horti ) oill ho cat h -CIOd A nd must b6 W I pc Ved by th7_4 d"pmt tir"nt prior to any lot that 1 heiurcl p"utorm"d or- '.1pProval grantpd . 4 ) PURS Ml TO 1991 UNIFORM HU11, 01N6 ( OOF . NFLIJON 104 ( L ) AND 01110, % 11 . All Stan M"nf HAVIl AP11PROVED NUMUFP5 Oh AUDRE44LS PROV101:0 IN SUCH A P"4111ON A4 To HE Pt. AINly Vj % 1 BE F AND LEGIBIU FROM ! HE SFRFEI OR ROAD VRONVtN6 !HE PHOPFRIY . NA4"N vOONlY HUCIDINIj RVQUlktq THAI 11-11 ^ H17 C1rMP111ti) PPIDIN lu VAilINh Fok ANY wIF 1N4Vtnlj0N4 . Pk REINSPECTION FfE , BASED ON kAFF9 IN 1AHIF iA OF FHL 1441 UNIVopM Hmj0IN6 roof WILI HI ASSeSWEn in OWNF141CONUNALIOR jallW 10 P051 A"DpL5; ON SIAF pyl "R 10 UkQ"J. KjVN(E• arm INSPECTIONS - JUN MU f ME F ; OR Fit AD RLI 1 OrAL CuDEK AND Ub( - rhanq"y to approvwd buildi"of p1mw FhRt el- loct romplin"-w V" Iho 11"4 Wa,h1nQon kl-al - frorgy I.odo . 1991. Vent. 11ation and Indoor Ai t qifahl y code, 10e Uniform 11" ildiog kodr and/ot hmqoo courtly woqewfiry Appru-pd by MMOOVI 1-0-111y prior V" cooni >A INIK PR03fff WILI ME J, i ry; i nmb ARM ""VfR W10 I A4 Awlift 0 "V"N WI I-H INV Ill'utulc 11111JTY likVIIIbis; 1111, VkOPFRIY IWSPI U I trINK 100 FOY P"V v0111- COMP11ANrl MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I 14'6'0 0 ii V I I A I I I A f 1 1-4 j W I I I H1 I V 1 i ti 1,N I J j t 1 1r f,n il I klit,•I-fly codfa i ta I- I ('( Otdeti wi th 9 ho dc''t IJI)II Of'f ill'"Ilk- y ' ti km V"r-� I ftrtl113 C. a(In o d I lilt C�ry IPA WJ'f I I' Permit No. ' / b'4 MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 LEA PRINT #1 Owner ic/ /l/�2v.�n �/�/�— Phone# �S �2 Site Address 1U L6 o A AA,Sc AJ A,l� !° /' Fire District# City St Zip Directions to Job Site Owner Mail' g Address� W36/ /(,/O l City Z/--,4 i St j Zip Lien/Title Holder 4,C) �= Address Clty St Zip #2 Contractor Name SG� �� Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No./2 3 3D -��-.57��- O o O JC '6 �^ Legal Description 4-1 Cto' V E=T /4_ #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq. ft. / #6 Use of building Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Price$ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh 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 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _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 15.00 _ Auto Fire Sprink Sys 25.00 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 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ 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 V - cam'- X BY DATE — — Y DATE FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Aved Cond. Hold 1ppro Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE Permit 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 171-,S Phone # rcrr Site Address 4-- /S-Z)O ZA/2Sae J Z-,&e Fire District# 02 City St aAt Zip Directions to Job Site .Q� ZZ v n ,Zl— o'er c7.cJ l ecIll Owner Mailing Address D K 76 7 City '-F 1A St�Zip — Lien/Title Holder /I�Jnp Address Clty St Zip #2 Contractor Name Contractor Reg #STt'P4 T1 7144) AddresVj 70 �S Expiration Date_6 /_ /_/�15� City %Z. St _Zip Phone # a 25--6-225/ #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply_Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No. Fitt QS, �o c/2 Legal Description �� y S Uf #5 Building Square Footage: (existing/proposed) Laage D / - 2nd FI 4 / //-27 3rd FI / Loft / nt I / Deck / /oU # bedrooms / # bathrooms/�Carport / (Circle ttached r Detached?) D sq. ft. / #6 Use of building /U Can Describe work A v #7 Type of Job: w Add Alt Repair Other #8 MO NUFACTURED HOME INFOR Model Year Model 0AYEfv rQ) Length th ial No. 2 ` # Bedro # Bathrooms of Heat a S'foyL 1 _ Purchase Price $ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh 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 Indicate Directional by (N, S, E, W) Name of Flanking Street Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 eachl Be& Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYKE: Ga Electric, ath Basins Heatpump, Other_ WA,11 K n,�5 -Bath Tubs No. Units Fees _Showers Furn BTU Hot Water Htr Heatpumps Laundry Washer _ Vent Systems Sinks Spot Vent Fans t l _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 $ 5 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 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ J 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. DEPA T. X OWNER X BY DATE DATE / FOR OFFICIAL USE ONLY:Accep ted bY �� Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY ` Approved Cond. Hold Approval Planning: Environmental Health: p k (? -1-2 Building Plan Review L�- Occupancy Group: Type of Const: S'N Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee q 5.M Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor (D , Violation Fee Site Inspection Building State Fee Other Other Building Valuation: 7�, 3>y TOTAL FEE Newman&Newman,Inc. N.E.8361 North Shore Rd. N. Belfair,WA 98528 ^� Beards Cove Div. 5, Lot 66 SCALE: 1"=20' NE 1500 Larson Lake Rd. F---� -I 0 10 20 p 100, to uj o . 14 5 10x45' res. drainfield j A 10 ' 0 10x45 drainfield � %— 2-ell Q LO 5 , r J CD r ,n LO O 60 ' I ti T— y r � � Y z }1 ly i� I sec Q Ln 100, S r