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Home My WebLink AboutBLD2000-01150 Final Woodstove - BLD Permit / Conditions - 9/22/2000 Inspection Line (360)427-7262 MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 1 RESIDENTIAL BUILDING PERMIT BLD2000-01150 OWNER: KELLY HUGGINS 3602755643 CONTRACTOR: RECEIVED: 09/06/2000 SITE ADDRESS: 41 NE CAPTAIN HOOKELF ISSUED: 03/06/2001 DR B IR A EXPIRES: 0 /06/200 PARCEL NUMBER: 123305300048 LEGAL DESCRIPTION: BEARDS COVE DIV 6 LOT 48 PROJECT DESCRIPTION: DIRECTIONS TO SITE: Install Woodstove Sandhill Road to Larson Lake. Left on Larson Blvd. Left on Captain Hook to 41 NE General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: MF Insp. Area: No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: Fire Dist.: No. of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make Length: Ft. Front: Ft. Shoreline: Ft. Water Body: Rear: Ft. Slope: Ft. SEPA?: Model: Width: Ft. Side 1: Ft. Shoreline Desig.: Year: Serial No.: if Side 2: Ft. Comp. Plan Desi .: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building State Fee KKK 09/06/200 $4.50 1998 Mechanical Fee KKK 09/06/200 $42.00 1998 Total $46.50 P-LD2000-01150 Please refer to the following pages for conditions of this permit. 1 of 2 09/06/2000 Activities for Case #: BLD2000-01150 3:27:24 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BLDA010 Application Received No Hold KKK 09/06/2000 BLDA500 Issue Building Permit 09/06/2000 KKK DONE No Hold KKK 09/06/2000 Page 1 of 1 i - , CONC.._.,t MECHANICAL MOBILE HOME s Footings-Setback date by Ribbons d�ite by Gas Piping date b Foundation Walls date by Set Up LB3/SLAB re by INSULATION date by InsulationFloors Final te by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date 's 7 2 ^�� by date by 1� �1 Z Z - ' f/mac S'•. Ti? — J V i PERMIT NO.: BLD MASON COUNTY (d 136 BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner -I Contractor Name Mailin Address Mailing Address City C State)WI Zip Code City State Zip Code Phone() :1 er Ph.( j Ph.( Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic �Connect to Sewer System Name of Sewer System Well Water SystemName of Water System cv PARCEL INFORMATION-12 digit Tax Parcel No. Fire District Legal Description i7 Site Address(Please include street name, street number and city) IL\ r Directions to site J kZD1 IC Will timber be cut and sold in pTl preparation? (Yes/No) bAO Is your property within 200' of the following: Body of Water(Name) < Saltwater _ Lake -" River/Creek � Pond Wetland_ .-**Seasonal Runoff Stream lopes or Bluffs PERMANENT RESIDENCE SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Mod I Year Length Width Serial No. No. of Bedroom; I No. of Bathrooms Type of Heat Purchase Price $ Replacement Uhit ?(Yes/No) Installer Name Certification No. I NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-]certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X VA AAdd Date \0 75•01 X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL!REVIEW APPROVED DENIED COIIVDITIiJIIV CODS$ Building Department G V-i rk roc er Y` u V 2 Occ Group Type Constr. IV Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES Cr/ MASON COUNTY fjl�` PERMIT NO.: VI PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair(360)275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT NFORMATION . CONTRACTOR INFORMATION Owner k� G 1Q5 '5�4 Contractor Name Mailin9.Address 1, Mailing Address City 'Wil IF �� State Zip Code City State Zip Code Phone 1-717 1 Other Ph.( Ph.( Other Ph.0 Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION712 digit Tax Parcel No. C� / / Fire District Legal Description )kV a Site Address(Please include street name, stree�et umber and city �:. Directions to site ,�A 1A\�, KQ- k-\:_ a Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater Propane Tank Laundry Wsher Gas Outlets Sinks Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Other Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date "�; X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTNEEzI EW:: APFROV D DENl GOIVDtTIf3TV CQR S: Building Department 7 Occ Group Type Constr. Planning Department Other Other E$ Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Woo /Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES S 1 I MASON COUNTY PROJECT SITE INFORMATION 1 Case No. Name' 1 hl� PARCEL NUMBER I rl�C��V�' Date X(_D__..' -0� SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography ✓ Well Location (including adjacent) Drainage Plan Names of Streets Easements r Names of Fronting Streets Septic System tK DRAW SITE PLAN BELO Include adjacent properties if on shore ine or within 100 f of adjacent property line. adjacent property line- � `�} , Fadjacent property line �I I OI 01, ! J ' r 4A J I � en i AR�v� r I M 1 t I I I adjacent property line-) c fsrIN& Firr"AiNG- WAi pPFRov I Fadjacent property line SAMPLE SITE PLAN ~ %AU�� adja�nt property line-� 3zo� _ _ _ f-adjacent property line I D 30' RvE gel 3EAso M AL I a _ PTSL HOM t i G4aEU I Houses jPrioP... s¢pt:c � �I 1 — I I , VAGn,T FC-0 MAbcrsToPoseD I \ �k \ � Af.R iCLLLtLLtiAL SO I I I 80, 1 I , \ I L—e-LL I � I I I A I adjacent property lined ; I IC- I a, Fadjacent ro ert' line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE dt St�.,cQ fin Sr4 ruti'L.a.Y� &St'a"Ce_ to Slop'. toot ana2 4e t Signature Date