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HomeMy WebLinkAboutBLD94-0187 Storage - BLD Permit / Conditions - 3/18/1994 N - MASON COUNTY Mason County Bldg, III 426 W. Cedar P,O. Box 186 Shelton, Washington 98584 a iF: I[J! N I s �,x >I A N N q ;' Ir• d 0 f t)k I N:;.F'P t 10 H C A i i 4 2 1—9610 8F TftF F N _.`arm AND R,4m 427- 72.62 HI_D94—f3i #3l t'nl.� r ! {;'t �i#E �t, �Ehk):.i1 11tAT [HIV ! H1 t(i[i At:�tEisE t': 280 HIAWAINA HLVU HELTON 014NI k HAkK GOLDA 4/4-4618 E"E)NLI tdA t (Et; OWNER IS COPI f RAL: I OR I t fTtii! iN 1-8 it Slav 121154 IR 1I Of Sp 11119 Ft II III:I IV.I?I +E t Nit W t AIR ; 0 HA 114 ANAN'4t AM A4 F, ft(It'j- . � AMttNNt DY UATI RECF.IPi� ! r`-R f El f- ,t'.I f11 1 Fa 'I E,)f� I t_ "� .. ,. " r;.�.ra.�a,a�.rr<•.,P.• •�~ . ,.)ilE:t11. E"Ik(:J1.Jw . _ hL.1.)G HE: T:01i1 z 0 . 01 1 mf 4.511 ItS �1.1118f94 '.3S3i�, f Y P r tEl E't)N'> f ? IF 1141 NI AE t:`-: 0 PLN t � Of KS 13J14/914 35341 JI- 1 t)f1if 0 {,�itll)FI1;I CIVIL N PRNT ; ti+4 SO VS 13/18194 .1534T �IJIJF 1 !. i441 ! 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', Or.t l)T5,HWANHf:R`:i N h I k 14ANI)I ) Hit I►1aL1._,`; E:[)hImI 1 Ni iN - O A%;f GARH IE1 '3Pt)SA1 v! r:< f4tHVtIfi FE{I +t v) ItF1 I) : fPI.NAIR : IA URINAL '; . a+ 1.0000 : 1m. `'-.. C4 ' rIllit ►i iINI1 '; A 1111 tit, PLM. FIX1*11P1: .:it k) 4WF fill ftI 1 N - tl119:E""iR`ofcsn::nS:.Yip^.Yra".'cY'.:tic.:�';'!u'G�Y t'BE�Iei1f 1,n1'"4rP1P11� fit?IiOTN6 - �.. GRI1l:ELt IQCATIk)N: 10 PRAIPIF OAD 10 41AWAINA 11t1 M'i PARI iNTA•WATNA N1VR tM.T#AKc( ', , AS YAN TURN 1010 ENTRANI'f, YON ARI UN KJAIIATNA kt�8 t,001IN ,TOK14N1' ARfAP: Ills ilN 11681 HAND SIRE, 111M To AND 30S1 PAS1, to,10,44 1.4m IFbl,-f) DRdPfATY t91 iC 5w CIfNRi of iN1IRSratoo -0[ FAGI.E AJD6F .JffIN �HiAYATNA MD. h,lT P1RNI1 DwillES N It. AND VOID If. 11M 00 (ONSIROCTION Atl1110911fll I', Nt1F (A)MNCEb WitX1N Is# BAYS, 4R.It fONS-IRIICI�I9N +3R 4OR1 IS SOSPEN6F8 F41:R A PERIQ ++ 1Bi- PLAYS AT ANY T t AfTIN WDR1 1% i6Ni4f,Ni.48_ fVIDINI.I 01 (PAIT'NNAIM' 41 000 Is A PAt�FRi�,S 1Nt;PMION WTTNIN TNf 104 DAY PFR1118. 1I0AI (N`;P11"T)!Jlf� NAS' 'Mt JAP gogo Rffm Ituc Nb CAN A,E 110EDPIED I'm N€F Ti R A o A 1 CCIINCRETE MECHANICAL MOBILE HOME Footings-Setback date l 01Z L Q by Ribbons date d5y �'' Gas Piping date b Foundatb date by Set Up dale by INSULATION Q-/p ?emu Im�r date by Bq/SLAB Insulation Floors Final date by date �� -a 4y by date by FRAMING L �J (I�D Walls (Z FIRE DEPT. date D �� z by I/,V ^� date by PLUMBINGf I date OTHER Groundwork Attic -erg date by date D.W.V. WALLBOARD yAIW! — date by date fj/ Cf by Water Line FINAL INSPECTION/ date. by date - �4(� by date by T�sT w o P. VUk. -LHI��-Yr.,'E-►�i� EIS �tVv�t � �.C�-� A-- �' .:i 1 211 02--$ 9 r 4,W11,60•g eo WVJ'&A,'2 Low F(i X?2 atX 51,50 I J L VIM10' I S H t.t)U I H t-tj MASON COUNTY Mason County Bldg, 111 426 W. Cedar • P.O. Box 186 Shelton, Washington 98584 C,;%0 N 0 El t V 9 4-0 1.8 1 MARK 60t DA Thp tisp -handling and ctovaqe of hArardotAlp 'mAttfiz or !`Jmfllfflatr]-P And ro(nbij-,,A ible f q 1.1 j d F, I n. ax c f-S-� o 10 q A I 1 0 n n a I owed w i h o 4,1 t e a p p I ov 0.11 t:fl 0'. M ai!E,0 n y Fire M�ar,- )A r o o d g t,r I t u r e or arty 0 it t j n t 11 e v e 4) f (4 m I-:o I, than 'joll I it fiv i r1h I- frolif rjr,ejij I I I I q ffIUF,t, III I it (a i n n ITI f n t IT)I I in o a C f10m :atl prot)orI,y 1, it o P r,-�t-t#to it an i i i (I ti t� of kda X All zi p p r ci v(a p] Any arp req tjj f'Nd to bf.4 on—, i its tor I liv-pvc t 4 of) 1111 r i s -(-a I 1pd for and plAns '.t r o n o t, ta n Fs i t-c4 , A p p r o,-;,a 1. 1,11 1 1 N 0 T 11 R q V A n 1.o d A d d j t Ro'.4­ lull:ppc t I Oil fvv 1 11 the ainount of $30 00 pvr 1jejIlt ( fit i it i mum t It o if I, ) wi 1 1 ho char t-Tosid ettid (I f)y this d0pArtmp.0. r 1. r)I- k,0 ,arty f I 11, 11 e I, i n i ci j I b if tj 1) r i i"me d nt .ippt on q r A n t p d X 4 ) PUR I 'f'O 1.9()1 LINI FORM Bit.[L D I N-f-ji COflF St I I ON 10!) C AND ON t. I "4 A L I st,trs most HAVL APPROW0 OR ADDRES111IF". PROVID1 1) ) N !,01(11 A P OS 1.'t t I A 1� ' 1.E Q'I 8 1.E f:R 0 14 T It t.'r R I,L',_f 10 H P I A I N I-Y V I Si T H 1,F' A N 1) OR ROAD FRONT I No 1 1.4 F v R a P F it I y , MASON 'I MIN I y 6(1 (I () I N(4 D F P A f? I M L N'T' RFQUIR+, THAT THTS PC ('0Mkj,E,' frT) pRIOt4 it) CAt' I IN(i voj� IINY csjj (= INSPI",' ) TONI; . , A RE1NS,PFC11(jH fFf , BASI' D ON RikT+15 IN TAHI (, : U OF YHF 11)91 UNIFORM HIJ1tDfN0 tODF I.Jtjj fiF A'>SESSET) TF 4WJNf H/c ONI'R.Ai' TOR JAll.l.'-3� '1'0 ON PR TOR F() 10,J)IJI- SI INAI JNSPFCTJOW'� . X ------- n NO 0 6.C.f,I pcl I I c y I hi f; %ptructure i S I iMited to M--1 tif � n I V Any ofllpr we i,jl 1 1. bo in violation of the Uniform Building Codo and 14 A f..,0 n o I n t'.y {terlrfIAtiR,f1 unIvIc,cs a "Changs of Use" pet,mir. I.s. Approv#4(1 X *rl No 04- f- ypAncy . T h i% 5;17 r t4 c tu r-e Ts I J, 0­11 oll I I tie in 0 1 d ..I. on of the Unt form Hililldinq Qod;6 ArIJ MA,:()n Y'nlrvilfv k IF 7 i"t.it I it. t.w: At t COWORUC110N Mifl:,;T Nf-FT OR f'X('FF11 At 111CAt IIOU)'F � nNI) UP( CONCRETE VECHA4LCAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by 8G/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Attic Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 R F Q if A r r' N F'., (I approved b t.i i,n q I i art hat 14 f f f!c t rl c%jo 1) n c o ► h 1, #4f n r L y ( 141.ode . 19 vent t,i o n and I A ndoor l I- a 4 God.' . the Uni form flu l li�inq Code m.nd,/-nt- MA 'op� 11 �`X I low, am- t he opprovod by MAson Count prJor Vo-� f:ow,, 1AA) rrw A- W 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 • MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location �� This structure has been Inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must b corrected to gain code compliance � Jam' 0�GAyow 74 d ,e00 w l0 �'/00'v 100, You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OKto / Department ;2�ljll Date ,z;� l �'`� Inspector ■ iolo * No *T Mo *V T141 T A MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location Tr, This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance ` i 3 � C � You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK t,GaW for re-inspection when corrections are made before continuing Make corrections, items will be checked on next inspection ❑ OKto Departure Date ) Inspector ■ NnT MOOV Tkr- TA ,� MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location 290 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance �a s Pos 3 ' You are hereby notifi that the above cor ons sha be made BEFORE PROCEEDING WITH ANY FURTHER WORK all for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department Date 6 Inspector ■ �� NnT MOV THI , T ,� • MASON COUNTY ` BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Locatiol v��� / ��� � �V--"q This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK all for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to _ Department Date a✓�' ",�� Inspector ■ oo s NnT MOV TmLom IAI 4N7—IC14AT1p cJ o F MASON COUNTY BUILDING DEPARTMENT &Po&K,*6 OF PLAN REVIEWER AND INSPECTOR CHECKLIST t7" e- Q 0/1 1994 NON-RESIDENTIAL ENERGY AND 1991 V&IA COMPLIANCE ��� Permit Number 00- ©/S'7 Address 1= �'C 9/a 8 I✓t Name on Permit 801_0 q . 14 A� Space heat type Elec?fYic: Forcen.,l i9i.eJ BUILDING ENVELOPE Insp. ( � ) Slab insulation R- IC (sec. 1311 . 5) ( ) Below grade exterior wall insulation R- ( ) Under slab duct insulation R-3 . 3 (table 14-5) FRAMING INSPECTION ( 4 Standard air seal (sec. 1314 . 1) Horizontal and overhead glazing (see glazing schedule attached) Max. U-value /( vertical, max. U-value overhead. ( � ) Attic ventilation (1 sq. ft. net free area per 150 sq. ft ceiling area) 3(i��U MECHANICAL SIMPLE SYSTEM O Equipment type and capacity .5/ Cr< - ,67-0/h ( ) Efficiency:EER A. SEER 0%jq IPLV 01,9 HSPF COP ti//9 ( ) Outside air intake, exhaust outlets and relief outlets equipped with automatic dampers . (sec. 1412 .4 . 1) ( ) Economizer, provide 1000 of the design supply air as outside air. (� ) Mechanical ventilation .'; 4(_ CFM (V&IAQ, table � ) Duct sealing (sec 1414 . 1) / ( ) Separate air distribution systems (sec 1424) INSULATION ( N ) Wall insulation (above grade) R- l I Batts face stapled (table 13-1) (� ) Vapor retarders on walls N ) Wd ceiling insulation R- Batts face stapled, vapor retarder & 1" airspace. Supply and return Air duct insulation: R- 7 (table 14-5) (Vapor retarder required on all mechanically cooled ducts.) ( ) Pipe insulation: R- (table 14-6) FINAL ( ) Floor insulation R- 6 mil black polyethylene (table 13-1) (fit ) Ceiling insulation R- &Y (table 13-1) (�. ) Penetrations (sec. 1314) N ) All supply outlet or other terminal device tested and balanced, Documentation supplied to Mason County Building Inspector. �► ) Ventilation supply ducts tested to meet V&IAQ requirments. 440 CFM ) Service water heater placed on R-10 pad in unconditioned space or on concrete floor. (� ) Service water pipe insulation 1" closed cell insulation (table 14-6) ( ) Deadband control capable of 5 degree minimum. (sec. 1412.2) ( ) Clock setback, capable of seven different day types per week. ( ) Microprocessor heat pump control (sec 1412.5) LIGHTING Lighting compliance method Prescriptive' Lighting Power Allowance ,-'' System Analysis (� ) Lighting controls in all areas separated by ceiling height wall. Single switch not to exceed 80t of 20 ampere circuit. (16 AMPS) L ` � ) Individual daylight zone controls for overhead and vertical glazing (15 I f 24 hour exterior lighting on timed switch, photocell or comb. ( ) Lighting schedule- Maximum Allowed Lighting Wattage (Interior) Location Allowed (floor/room no.) Occupancy Description Watts per R'" Area in R' Allowed x Area M.9 c O 2 & "From Table 15-1 (over)-document all exceptions taken from footnotes Total Allowed Watts Proposed Li hting Wattage (Interior) (May not exceed Total Allowed Watts for Interior) Location Number of Watts/ Watts (floor/room no.) Fixture Description Fixtures Fixture Proposed Mfi/ U/'. )f ? i C Total Proposed Watts may not exceed Total Allowed Watts for Interior Total Proposed Watts Maximum Allowed Lighting Wattage (Exterior) , Allowed Watts Area in ft' Allowed Watts Location Description per R'or per tt (or It for perimeter) x R,(or x If) covered Parking 0.2 W/tt2 Open Parking 0.2 We Outdoor Areas 0.2 WW Bldg.(by facade) 0.25 WM2 Bldg (by Pew) 1 7.5 WAf I /v"2 Note'for building exterior,choose either the facade area or the perimeter method,but not both) Total Allowed Watts Proposed Lighting Wattage (Exterior) (May rid exceed Total Allowed Watts for Exterior) Number of Watts/ Wafts Location Fixture Description Fixtures Fixture Proposed /h C / E- E Total Proposed Watts may not exceed Total Allowed Wafts for Exterior Total Proposed Watts GLAZING Plan Reviewer-Fill out this glazing section or attach a window schedule to this checklist. Lpgetor- Verify window information during field inspections. Include skylights,glass doors and all other glazing on this form. Use rough opening area for calculations. Date Size Quantity Area S . Ft. U-Value Manufacturer Rev. Ins . Total glazing area: Total conditioned area: /*77 A Percentage glazing: Verified: DOORS Plan Reviewer-List opaque doors by type(solid core,insulated,etc.)quantity,U-value,and manufacturer. jmpector- Verify door information during field inspection. Date 'Type/Quantity U-Value Manufacturer Rev. Insp. � y Foal" C'cre Signature of Building Inspector: Date of Final Inspection: — OG/c/F/ll, M/i��C f S/GV.9urr GOGCLI zoo 1114AIf)wq /94ro, .flilfcior/,A4 �ys"8y -�A2CFG .' 3 Z ooS 7S"�7�3 Z Zell o`6 ,144 /3i��v/C CONCRETE Sth'/� io/� Fi�o�ui E,v1/�vuCfw�y f�P (iE �o4i fear1 �SNicDi�y1 A' S/" 2 F1?,eN loor1,u6pr, F.r�ti` lz w X Z '� .cow vl l2''H, f�G'�,., LY•�4 arfu-Ly u�vo I � I l L.N. fiJUA MAY rjnti R.N•E�rr�rt,�Lf t�/�° II I I I p —Pi i + O" j �I+ 6��-�► 1 I I r4 FT&. FAUWNWHY Suwx,r Pvtr o J I 3 save y' 6' o" 4 Kibh I 1 I , 001 I I 1 401 `1 1`Y�1 r4 rT y5 'v3 �F.',� � t�ti _. t yv5 1 r4' � x•oyi'a relt t k �Y ''Y lr•f T\, -i VIA i�y? + riRa: u P/{�� > .(♦ ��K 1f�. ' i " .its. Ael, t 4 WT dalr}} t; rti��� tit ' DBE. 9" vvNYL " r 4xul q ) RIG r• t r,l t 1 V a REF — .2 ? 4 FR I -_ 1 S . 1 4 1UV4C E T A I F-* F _ 4 1 l _ HEATING & AIR CONDITIONING FAX TRANSMITTAL FAX # (206) 456-4990 DATE: = -- --��" - ^-- - MESSAGE FOR: I_. -' s _r..a_L ?� -�21? - -• - "I COMPANY NAME: FAX NUMBER: TOTAL PAGES: INC. TRANSMITTAL If you do not receive all pages, or have any problems with receiving, please telephone (206) 456-4956. . tnl- N i 5r VIA M DI 6 1 5 a ,ulevard La;eY, Washington 98503 j206) 456 SE: 23 4 FR I 1 S - 1 4 =: iJra '.: E i= F'T , I F _ SYSTEM SIZING SUMMARY SvCtufn Name. : Hiawetha Bus. Park Flock Load L oCelt IOn Olympia. WL��,hiington �!v : :altnst_'t Air, lnC. *�'��:*����*�t�ctK���Y���k�������k7k�K��k����K�A���������K��K���c����k'*��k��k•*��t_��*N�Fmt>w� 7ADL. 1 , SIZING DAFA --- COOLING _.-M- -- _,...._.,..... �._...... ��`�14-��L)/hr� L.o�'�ci~oC'CLlY93-..., L Atha '1 utal col 1 1c7��d - r = 84. U/ r,,,, v i -,_±risa.bIv Coll lead +��. ig E�'CU/hr Ulttdac�r I�b/Wb '!'utal .C�r't£� ��c:n�:,iblr== `�• -541 B,rU/hr• Coil Conditions: - _ �. F Entering. I)b/Wb 75.4/ 5ttfJp lv tcAf�acrr•atur•e = 5b.v `S'41 . 8 6 Sk.tpply air tilt-tt al ) = 1. 621 CFM L_eavinc- 1)b/Wb ` x: •t:t F SLAPPly air (Std) = 1,5(JS CFM A;,par•att,ts Ctf:wpozntY ,..r Bypass factor Vcar'rl i 1 Ott i�i•) air' - 1:�'. E;F M w U CFM Fie5Lt].ta.nc3 ;none RH Dirt c�.t. rxh4AUSt air = C► BTU/hr 1 ,8'12 Tct�al roil Inad . .. _ ,� � •, � t+r� gvrw~r gall U-v2alt.lF - 0.066 Sensible c-ol- l Vent rear' - 0. 12 c,>(')F .f /Tart M P e�r-S - 15.UU Coolxnu bit.)/hr/soft ''r• ::r ' / t�n - _....._.._•...--.__.,_._....-.._.......r-._..---._---.__..._-.--._...-...._._.....C.C7(:?].1 r'io-Lf�'�I/ rA��. k•. � l ZINC, D(1•I Fr ..., __ __ _._..__ lt�ad _,R^_- ^ c►:fir ?it4Tbl'IJ/t1r• Heating c o l 1 > _ ventilation load - 12, 22.1 FIU/hr` fa 9S83 J TU/hr Floor area (Sgft) ► , 1'pt.4a! ,�lartF.` Io at7 T l Overall LI-value Ventilation airfow= 12.i CFM - t. - 1 . 621 CF1�1 V�::`nt axr• 4 t.t l-,4,1 v ,axr+ bow — _ . Vent air C:FM/person 1 F1E?t. 1Nk U'f D(_ ljA -- VJEATHi 'R --_..._...._._-----..__._._. ----•--_�__._-- _._. __�..._....---$l.trtlfT,er--dry-bulb Olympia City Cair}c-id£:°rat N�ct--�atwtlk�- e�t. �' � St at.c = Wc.kshington :��:t iw:aric;e .ca k I)Zt,a Source, - Usut, Modified llaa ly Winter Range bttlb �. �:I . 0 f t..at I t L1Cite •• 47. 5 d{'9• AtmoS. Clear. Num. E.Ie ti.on TAPL.E A. INPUT DATA -- HVAC SYSTEM-� ------- 5) ,tr:rr,` 7- _ CI9-&-Warm-Air Htq THLRMUSIAT SETP01NTS yp ^ Cooling (Flee) s i4.�_, F syst em Start t 7VC = 1'4 lir'3 Cooling (UncsCC) d Ott,4? f Duration Hutt ina Sl Z iNU SPEC IF: IL.AT TUNS F AG7(l1i:SCoil ByPa1s Supplys `,l.4 E Safety 45ens) Va.�nt i 1 a ion x 15.00 CFM/person Safety (Lrater•tt) s r•, Exhat-!st U CFM s Heat i np Safety 0 /, RETURN AIR PLENUM N FAN C:oofipuration Drew-1hru r= P — 22 Z lok? 4 F= R_j 1 S 15 SUNSET AIR P . 0 :250 SYSTEM SIZINb SUMMARY 5vStpm Name ; Hiaoatha W5. Park Block L000 LOCatiOn : Olympia, Washington page Of Prepared by ! Sunset Air, Inc. TAHLO 5. JOP TEN COOLIN6 LOW LOADS Sensible ; W0.1 Bensiblt Total jime o n Time Ton Ton 1 ) Aug/1500 2. 79 6) July/ 1500 7) Sept/ woo 2. 12 2) nut/ 150C) 2. 60 3. 16 6) July/ 1600 2.65 "o Fug/ 1400 2.75 1 uly/ 1400 2. 65 4) Aug/ I 6QO 2..73 304 9) j unw/ 1500 2.61 2. /S 3. 1 1 0) TAPLE 6. tUNE MiNG DATA ---------------------- - - --------------------------- 1 marimum Max I MUM e g Hentina V it"J Cooling Airflow Sensible hate lcjn(� Wvl)e (CF M) Fk 29, V67 25W 1 30N 6 n iF Permit No. "r u � MASON COUNTY ff BUILDING PERMIT APPLICATION .426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �V y7y- Y6/� x r #1 Owner /�'�/�/C_ �` 1 Lv��� C��L' Phone# rhy ?GJ=610V Site Address F E30 /74M Fire District# City I'1'1L4 nu St 6✓4 Zip Directions to Job Site %J� f ��°//irf'/-° t'0�1�� J AY/r9WiIA 9'JWJ- f ) ,fJ- YYY 7qN iV70 P filcCf `'acf�IiP� OW X11,f4e4,71Y4 f1G✓D. / ULff,� r,�r��6i,T ��f�D ; �/ i!' OW ,Qi6Ni ti'✓O ti0 Nf:i TU ,?Uf! /dfl� �CaNDIf�c/ G2f y r�yfiL f) /.tt/iJi'3' Co i i 1 iC/ti ,(f:�ili OF /•vf+`ffffi;f1.J D!- fi►�(,� �''�1Gf f sr'i.��..�;%ram /.�:r/a . Owner Mailing Address 33/7 77 N VW City Gib /W'e4"w , St 6�.4 Zip 9y33.Ji" Lien/Title Holder Address O IT'z' / 9y City fl-4( �y, St !'/7 Zip 9Vf�`' #2 Contractor Name I'/Ir1F /�f �/✓ ��t` /1��' 2 'f 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) D #4 Parcel No. FEB 15 1994 Legal Description GO/- ?/' �y A%��,G�-��%�� ��f'^�f�f � GENERAL SERVICES #5 Building Square Footage: (existing/proposed) / 1 st FI 2nd FI / J u 3rd FI N�� l 'i�f Loft Basement %/�/ Deck/ A # bedrooms '�A l r%rt # bathrooms Garage 1111 / �i+TCarport ��ii / -'/v (Circle: Attached or Detached?) Other sq. ft. / #6!(' Use of building g1,,Nf4j-9Z /3" ffe J)^arXk At Jf4W1JfW1- f Rfelew4-r 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 )rA/gf,? NE 3 ,yMP1 �IiI�CHED r°r.�C Tivll /°dWW;;0', rJ mo tr1,rr1,L,4 ri eiaffr ov coi C' 71,�,e o� j7Y�f A/ uGir9a iNfKE �tL�NV rGtlJr� �uEt� I/✓uCf.G,./f�; &jUz,I, bftv�Yl� r:� J G1C �ii(fr7f l iN�l O�-ao e ]'j 01 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW CL M Plumbing Fixtures ($3 each) F 9_Q Mechanical Fixtures ($6 each) No. Toilets 3.007 CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other —Bath Tubs No.. ILija Showers — Furn BTU _Hot Water Htr — Heatpumps —Laundry Washer — Vent Systems Sinks 3 2--- Spot Vent Fans ] Z cry —Floor Drains No.. Boilers/Compressors Laundry Basins 3 _ 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 $ Z7. 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 $ Z G OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL -Z MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT 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 ANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAININGAPPROVA ROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEP TMENT. DEPARTMENT. X OWNER *W11i PV X BY DATE /ice /y / g DATE -OR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: f Building Plan Review Occupancy Group: , Type of Const: Fire Marshal: 3 Other: i Special Conditions: FEES S� Building Permit Plan Check �. Plumbing Fee Mechanical Fee . C C= Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: Z�/ TOTAL FEE 295; a