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HomeMy WebLinkAboutBLD94-00974 Final SFR - BLD Permit / Conditions - 2/10/1995 MASON C U NTY Mason County BI g. III 426 W. Cedar f P.O. Box 186 Shelto - Washington 98584 N iA 1 14 (C'r 1 > 1 1t 14 1 1 }k I N'.I'1 + 1 1 +1N'. (.1,51 1 427-9t,7N iP 1I,IFi N ' f+rrl AN1) 8,1ill 427 -?;#62 131FD94 _®914 roki t' l c_ j ,aha9vt � l. I'I At ! r!F'1 0 C 111 �; , Fr1 t t ni Iy f' lilltlkt E. 220 StFAFORO DR S"FL ION 1 HRUCI GIt I. E U 754- I S61 ]t• 1 I t;1s 1 fAlt 111111(1 11 It Is $11s$ NI ilte 1 • N111 Ht 14! ; HAM 11Pf AN(wi1T tiY Ut,if kti'tiPi IfYPf ANRpNT t1Y DAII, Ri , T t1'f Of t!';t t` `iiO1� th r f 4 nCt'l)W lrriilt= ftl Uii IIt t t;H"I F1 . N 1 '1 �1,01111 1 ,i1s 06 NJP 04123144 47:Ii I Y1'i t1f (.4iN' 1 I i l(t t'i ri+ t `, T R A 0 0 9,46 NIP 04' 4f94 " 711 t7At4 0w(Ifif(<, ti}V1 H �P10 {� 41 1i N1t A4j�3144 41"10 1 i 1)t It i I 4IN f 1 {9 f'AkK I N+i 1'A 1 bj 1 i NCN � ;4 1}n N.1P e�11; 4114 ;r.' 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At if towp''lim it N& WoRt IS 4it'if•fNNfo 1`118 A 1'fR14rN 0491 DAYS Al W fink AHER N7Rt 13 it110ENfED fVTpFN('E of sANTINttATIRN of ►IARI i+ A PNnofF s iNiPEifInN 4110I0 1N[ 18# DAY PfRtAD FINAL iNSPf+ li++N N11'�:1 $1 AP, HVFD PffoRE 91111414t, ( AN tr fii.fUPifD. 9aNtI'. ng A001- _J �,,c :�,__ __ .-.- .,,,1 �� �. _ UAIE• R111 J11191 , rev., 0 .;31?91 COMPLIANCE TO AiIACHU0 COND1IIONS 1S RtQ11IRE0 CONCRETE ' MECHANICAL MOBILE HOME Footings-.Setback date b k_ I,/ - Ribbons date /11 j>Cj V-C,���`/by Gas Piping date b Foundation Walls ,,^^ date b Set Up date �C� e_ Y)-f 1&,Jby INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls ` FIRE DEPT. date date C I��� �I date by PLUMBING OTHER Groundwork Attic date by date b D.W.V. WALLBOA7 NAILING date A date by Water a FINAL INSPECTION d ,� date by dat� � �— tdrb � {Z� date by f I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 it�'Iri•I I I Yt•'I .yiir� > . �- � :! . :, I 1 .-Jo r (l'. „T I V7 l.a i 1 ':il i ,� � :l+ir j .,: f � r ,,,:'s i 1 , r,!!'.. r• ( �-;+•�,Oi1i r i .r11.1,.. ::.1),i I' 1 i t j , .� I f,i ('� �. 1 kl + 1 ! I r;( , •..t.>r1 ! t1(: i 1:1 1,1 Any por-t 1-on I.hp.r eo f tar t+m t.€,r t.hait i0 11 144� i 11111 1 ! :+,i! 11 .1+k I j f1p It)'1". l ft!;s1411 ,9ii1 I iflillI fit IIm r. 1 ibrii,k froIII All pt'op*) I Iiy It ,! " r'lllratlf Ilil ! LY111I. ett 4 ) I ! 1 ,1-r;,...;1 L )il'. mr- rp'r ii i t ..rl I (,a �,ti.....sj L c. 1n ?r" t# I I 1 f i n�ft. t ill 1 1 Lr�,1 t o I r,it,l 1) 1 :-a11 ''. .+i r-' not i)it A1)(s1,O,imI. H I I 1. 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FIA I�E D ON kA f f `-, 1 N i 1)bLI iA (IF 1111 11414 1 1IN I f ORM Bit(I it I N(i I nf)f 1,1.1 1 1 hl A ,;,I 0 1 F 014NI k /CON1 RAC I ilk FA i 1 ', 10 1'111,1 AIJORU `,l�, lIN " 1 11 I k 1 Ill( 111 1`0 11111 1, 1 1 Nf7 f N f'F( I ON'-. (.> ) Ai i ('t1N'JRIIC 17 ON MIP,I MEL I OR i k(A I H Al I 1 0C Ai ( 01.11 , ANIli llHf 12I` QUlRf MF Nl l/ >: e� . / } rhrl(t(f" tr, iih1)1r,:r=,il b1.1i .Isit (l,l 1,1o11v. f.ltist' crI' f0c.I comp Iiri1ce, ir', fillc, Iw) I ll,i,'.11Iii(if'oil `,tmio Mr E rl�!r(IV i odk, II O ,'71I(-f 11`1do0r Ai r kiI!a I i ry I I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 ' of !'AP, I Mt N 1 ALAI, rt s• ,i, . s; fFiFw PRt) I F C I W I I I Mr [ I THE 1, N(3 TERM 114117R (i00I{ %:1- N1 RI {1111f,11`11 NIti A'; AtYRl f 1) UPON 1-..11 114 fI'1F: 1: IFit: IR .If' 111 .11_ 1IY ',f-RV10EN6 IHE PRIIPEi' IY . INr;Pf-i- f10fl'; IflP t_ N1Nt"tY FI)tlf COM111 I.AWA flN 1.)1 AVIQN h IN1)00R Vf-N111,AI" f()N ) IJII i Hir PU141- 1)RM1 f) i'v A 111 11 1 1 Y I?I l'kf ',1 N I A I I V I AN11 I141 f I N A L I"N'::PI 11' 1t)N 11FRF()RMf: D fly 11111 1 f'i `; AI-F M►I•'". I OF '; IIiNF1+ I+f 1" 1,11? 1fW 111 1111 f INAI I'N' C, C i IIIN PI I?f1'+RMC0 HY rill MAI�iON C1)1_1NIY H1)111).1NH I I"fit'? IMI NI I f +"Itomlo +tif�r,{.Ir '1110 y+,u Fo 111f4f 1 t.}1111 i ? ( i °iitf If't�i I"'off coIIlrl� 1 1.1t" 1'il'HI{� o?YI�>INV K Y f Permit No. FAASON COUNTY BUILDING PERMIT APPLICATION ,�aA.q-"-1 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �V PLEASE PRINT #1 O er 3RuC� (ai//Ea� z�J�liz dReck / Phone# 1r��e 7-JG 7 ti o ite Address 10?O ,�-.�+.��e.fl -Dri V E Fire District# 1:6- City '2 IU W q -b St Zip 9$69+ Directions to Job Site / A-Sn.. I,",; �� 4-A4 Ki ISF 2ig ki l� /t , el ids 4 P( C. /I,fl h12 jA i�l 7f 0 O c Owner Mailing Address z" D o)4- City St L4z.+ Zip Lien/Title Holder Address City St Zip #2 Contractor Name Contractor Reg# W Is©7LM 8 Address ,boa o6 Cry A<,1nvwA,-n (..r.+ e% Expiration Date 7 / 3 /1 �P City eng4i woo%A St _Zip Ld B 50[ Phone#,26 G -?5'9�-75 G 7 #3 If septic is located on project site, include records. Connect to Septic? c/ Public Water Supply Well • Connect to Sewer System? Name of System .LR AeC L.t M F� C-� (If residential, proof of potable water is required) #4 ercel No.39, «7 - 5q - 00031 al Description ,-A: -�2/ck +tom S 107- 51 #5 Building Square Footage: (existing/proposed) 1 st FI ,4 1,Z4 / 2nd FI / 3rd FI / Loft / Basement / Deck 2-26 / #bedrooms_ / #bathrooms Z / Garage Carport / (Circl ac ed Detached?) Other sq.ft. / #6 Use f building G/� .L��s •z4z � Describe work iU #7 Type of Job: New_ Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Model Length Serial No. # Bedroom Fake Bathrooms Type of Heat Purchase Price$ #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 V , _Q W APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW iZp A� Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, lectri a1 Bath Basins Heatpump, Other ,zl7a I, a' Bath Tubs/S4#,.ers No. Units Fees _Showers _ Furn BTU Hot Water Htr Heatpumps Laundry Washer 3 _ Vent Systems _Sinks Spot Vent Fans 1 D 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 15.00n _ 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 ORD]NANCE 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 FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: (A 1 4 -4- Ira 17 L L 9 U - Environmental Health: Building Plan Review Occupancy Group:lZ 01-IType of Const: N Fire Marshal: Other: Special Conditions: FEES Building Permit (� , Plan Check STacbc jn1,, Plumbing Fee Mechanical Fee 33 Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other L/ Building Valuation: TOTAL FEE 7tp