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HomeMy WebLinkAboutBLD94-00873 Final SFR - BLD Permit / Conditions - 10/19/1995 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 131 111194 --0873 A i tit I- I W 11W A1111PI .,'� NF 821 I-AV;ON 1AKF RO Lit, I f A 114 iri_IAyt ', GFORGIF 1101-41GREN ;;7 lit-- S'l 3 1 I fill, HOI HGRLN CON'41RUC I TON 275--4-#337 HiM (SVI $IV I 111� 1111111- Ills Is 64111 it Is/ lit lit? 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I 14L QU I Rf 11) CONCRETE ftL ro MECHANICAL MOBILE HOME Footings-Setback Cam P 4,r-r �J date - — by Ribbons date - 1 by Gas Piping date b Foundation Walls date by Set Up date _3- -2 3- j by Z -J INSULATION date by BG/SLAB Insulation Floors Final date by date g"- 5 -s�;7 by �L,t� date by FRAMING Walls FIRE DEPT. date ICI - �� by date by date ,S-S- S 5 by ��-�PLUMBING Attic OTHER_�;,,� Groundwork date 9 15- by GCC� date b D.W.V. WALLPQARP NAILING date,5 - by dates by 3 Water Line L FINAL INSPECTION date _ _ rJ by `� date _ by L/ date by YA MASON OUNTY BUILDING III 426 W.A CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location &). I Z-k r6--"a 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 / r Cam, r S a ^, i 7 Gl 63 i 4 C 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 a Make corrections, items will be checked on next inspection ❑ OK to Department Date Inspector G ■ so 0 F_o OT rk Mo OV T 1 T A ,� MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGT6N 90584 (360) 427-9670 CORRECTION NOTICE Job Location &I, .- 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 e,4 �� i a �IiOLs•� r.JU /l0-� oor.�v�� I�.� L� t9��;r 2• V f c�c�i c� 1 { 2 a-,J r rt I a,-, ?`[� 7 .r�S C� t l O- Gt Cc/'c c� C /�i f I �. nn .. J/ jQ 4. `tl Ax-e— Alt .-z You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ,4aF:P,all for re-inspection when corrections are made before continuing • Make corrections, items will be checked on next inspection ❑ OK to i Department ;5 Date $ 0 — 5 S Inspector ■ io4 s NUT MOOV T 1 Tmkoll MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I QW1j; Qy , 1 AVXF - on i -o ii., VA " ill li+' r h ill , d"por Imp"I PI I I 1 "nv h- l "q poll 1 10 10011 "Nil lip m H" IlAINW ' "Ill , q1I I 1 "m iol r t. I hmv 41 , Il "N Kin All Vill " mil "nVI ni6140VID NVIMI-ItIRK "k rp"Violu IN '�,M " n V04111 "N nn I " RI PIAINIV VmIl \i's 11 1 1 W11,11 I fRilm Illf 41IIIII Ok klink up"NIINI, I "t I-s"PIPIT MA` um IIIIINIT Hlill HINI. pi pmr 1 mv ml w Q" IF14 ! HAI 11114 "1 I "mv1f ! ivs pki "n J " VAI I INh I 6k Amt ' ! it I N`,rl r I Ill P f I I I FIN fft . HAW " HN VAIU4 IN IAHJt in "F f III I -" I "Nit "Rm bHll " INA ; "III 41 H If 0WNV I-I VKMIPWIIlV lAll " h" I I "ni kv!Ahl "" "N � 111 K p 1 0 F I H 1- 1 ""1 ' All f "N11RIJI- 110N MN41 Mill nV I- XfUlD All 1 us'Al I ""1 4 nNn ""I- oppto-nd h" Kd'; "q plort- lhol " It "ri v"milimn— to lh- ! "" I ll"Ihwol -m lod- , 10" 1 V00111011 "ll O"d ) Hd""I All """ illv lh" onif-rm till ildinq iod- ooA /or ma.o" v."" Iv V.q" Imjj ,,. mls 1 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 Mason County Bldg, 111 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 i lIN 11 it I V1 i I j t ! 1 0 o I f t k J I t i iIIIIt I I 1"I I k I ttII I iit Mt H 1 I I t I 1 t1 111 1 1 1 1 1.11 t ill i I k I I I I I I I I IN MII I I I f N I It I f 1 1 If I I I I f I 1,rl t II ii I I i i M n it pj t it I r" I 'I f kI t I I N 111 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Pipin;t 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 PLUMBING date by OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION Pate by date by date by I I) I I J Ov 7 10 Q a c� 4. °S Qk o N O N � 8 0 n t r Ski �,.., S •��v ' "� ^4� �,�-��a� A SATEWHINGTON Attachment B ENERGY Building Record WSEO Contract# 91-19- CODE PROGRAM For Site-Built Residential Buildings Heated by Electric Resistance or Heat Pumps ................................ ................. ................... ............. ... ...... .............. .... ................... ... . ...... . ... ................... ....................... ..:.:..................... ........... .. . .............. ........... ..........................0 - ........... .......... . ........ ------ .. ............ *` (please check one) N.,_ (please check one) ew Building Ll Addition over 500 sq.ft. 'SSingle Family L Duplex Jurisdiction: El Multifamily El Zero Lot Line Home El Planned Unit Development + �ounty 6 ?73 please chock one: ❑ City Permit# qq- I Fi I e I D# (if different from Permit#) + 0.......... ... ... ................. ............ ..... .. .......... ....... ............. ...... ...... .... 10 ...... ....... ...... ........... A. Site Information B. Owner Information Address IV& LP-rS On 4-,'k- f Owner (owner at firne of consItuctiollr ves utility payment) 0eo/,2i&_ City )6e- zip Company IIJ Usessor's P(opertyTax# or attach legalldescrip Lion) Address 7 4F- 0 to yoz, D F3 L 4kT CitV Bel I fa StatEjt)/3 Zip Servicing Electric Utility Phone 34,4) C. If Single Family, Zero Lot Line or D. Duplex E.If Multifamily(R-1) Planned Unit Development First Duplex Unit sq.ft. Tot.al#/Bldqs. Total Conditioned Floor Area 0(2 sq. ft. Second Duplex Unit sq.ft. Total#/Units ................. ........................ ........ ........... . ....... ........................... ... ........... .............. ...... ....... ...................... ................. ..... . . . ......... ........... ........................................ ......... ... .................. ....... ......... ............ ... ........................ : . . ... ..................... . .... ..... .... ........................ ................. A. Primary Space Heat Type B. Secondary Space Heat Type C. Water Heat Type (check one) (check all that apply) (check one) EJ Electric Baseboard None Electric Electric Wall Heater El Wood ❑ Gas 0 Electric Furnace r_1 Electric Baseboard ❑ Other (specify below) 0 Electric Heat Pump El Other (specilybelow) El Other ................. ............ ............................. ----- .... ....... ..................... ......................... ................. ................................... .... ............. .............-...... ..................------ ...... ........ ........................... .................. ...... ................ ............................. ........ ............. ................-............................. . ...... . ..... .. . ....... ...... ................... ........ ........ ........ ......... .......... . .... ..... ........... .................. .......... . ...... ....... ....... ........... . ....... ... .....P! Me.. ....... .......... .... .............. ............... .. . ............... ......I........ . ........... ................. ............... . M no.............. ..... m . . ......... ............... ................. ............... .............. ...... WSEC Compliance Method For Heat Pump Only: Date of Permit Application El Prescriptive Path Built to the Electric g ***'� Component Performance Requirements of WSEC? Date Buildin Permit Issued Date of Insulation Inspection El System Analysis El Yes El No (If yet, utility may offer incentive.)' Date of Final Inspection 0 I hereby certify that this building or addition has been inspected for the measures required by the 1991 Washington State Energy Code(WSEC), that it is in substantial compliance with th EC, and that the WSEC checklist for this building is on file. Sign /of Building Official or Authorized Representative Date • Building Department:Return white copy to Gail Burris,Washington State Energy Office,P.O.Box 43165,Olympia,WA 98504-3165. • Owner or Building Deparment: Forward canary copy to the servicing electric utility to trigger WSEC compliance payment. • Building Department: Retain pink copy for jurisdiction's building file. WSEO#94-015 Lio L-5 L!j [-� U U, 1� M ,1 Permit No. ' JON 15 1.994 MASON COUNTY BUDDING PERMIT APPLICATION 09A' rlll� 14 SERVICMCedar/P.O. Box 186, Shelton, WA 98584 427-967011-800- 2-5628 � �� s �q #1 O er GEOtgt �. �O��o��c cv� Phone# �"=-%1 Z'1S-5337 to Address y,, Zz% �,..a►tEOv� 4.e�1�.t 'QocsA Fire District# City -1%aAa'ir St VJV►- Zip ablyv-Za Directions to Job Site 1J•-A\-, Soto_ %4\4. :��� o r. So,%4L NAT.\\ Ito" , Owner Mailing Address city St Wa • zipo3aSZa Lien/Title Holder Address Clty St Zip #2 Contractor Name Contractor Reg - Address '�.p.�ot�- 'Iqa Expiration Date City �$!�a1�- St W - Zip e20 Phone#(-4W) 2-'15 S337 #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No.\Z33\ - S1 - 000 Legal Description COVC., •+ � `', 8 k& 415 #5 Building Square Footage: (existing/proposed) 1st FI VkOO / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms 3 / #bathrooms _/ Garage AVg/ Carport / (Circle: ttache r Detached?) Other sq. ft. / #6 Use of building Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Price$ #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 i 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 o'V APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 each) No. .Toilets T CIRCLE FUEL TYPE: Gas, Electric, 0 Bath Basins T 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 $ kk?-- N2 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 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 9644%AML.%, --- X BY �. DATE DATE Cfl •�S •aJal [FOR OFFICIAL USE ONLY: Accepted by: /t� i^ Date: -) �n / DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: cn�� MS Environmental Health: Building Plan Review Occupancy Group: "�� Type of Const: � Fire Marshal: Other: Special Conditions: FEES Building Permit 3 $, Plan Check Plumbing Fee Mechanical Fee , CO Wood/Gas/Pellet Stove Radon Monitor (Z Violation Fee Site Inspection Building State Fee �5 Other �-- Other t( S.SO Building Valuation: L "� FiV g TOTAL FEE