HomeMy WebLinkAboutBLD94-00774 Final SFR and Garage - BLD Permit / Conditions - 4/19/1996 ——————————
MASON COUNTY
Mason County Bldg. 111 426 W, Cedar k,
P.O, Box 186 Shelton, Washington 98584
till 114 41L 0, 1 1 If 1 42/--9610
4;1'7 4?6;�
fit 1, t +l I
;%I)W! ! F 11 ,30 PFBIRt.E!i CIE *;IjF 1 '1"0"
1!1A1jj I IIFIR.INA WAI.KfR 1106b 9441
ilN I f' o, I 0f PYRAHM 4 6 4 03 1
I Mt 1114111(1 S It It# I's Mst of III$
n !_!,I I Mi
PA I Ir P IF 1.If I P I f y P F A401INT 11Y 0411 P14-EIPTI
if 0,Ili) III I 1f11 1 0 0 1 1
t
—to—A I 1 4 ii 6 0,1 P 0 0 q 4 1 t,N v I I P 10 j 14 of P
I tvr' 1 1,4 l 0 R A P 0 t P 00 #IP 010904 36841 1
f I 4 1.1 0 t I I PIG[ t I I 1 0 @ 0 1 P lkj4 4 11,811 I
it IJ I I--t IlP I I jA Iva I l'7 0 Of P ON/1114/44 11,8#I
I N 1--f i I t 1-4 1 4 tl It I 1 4 1 ti 1 A t 428-11# VAIVIA1101: �4j
L2�
I I P'' ji Ilml
i 0 0 f-I H I II li r`i -; I Fit 1 0 1 111 0
I I Yf 0 1 1 11 A I I 1 1 1111 mfliff I
1- ,,I I I I I le I,,, i I I I I:H 1 0 0 1'. 11 1 It 0 1 1 tot 11 P 0 rl t f
-
I. I'll, I I lit fl I 1:Fi'' i 11"04 -: ! (II- tt ! 11 0 ihct 0 1 l 1, 0
I! N t HI
I if i I ti f N I Y 11 0 (11 1 VAP f 0()1 1` P, I-H I if 49
Hit I I Ii I W, 1 'tip I Nf I N1.4 I Wit-I I F# 1l1 H 1 i Aft'; H I)0 4 1 k 44 14 1 1 i 111
i"t I N I i I i,e f till i Ni 114 o f F? I fIll #
it) ifimml I N( I N 0
fir'PH [it 0000 c It 0 1,11 1 (if Ili% I P 0
f�T I I'l I N I N m I i 0-,00 1fn 0 it I I It P IIN I 1 0
fill I I 1 1 0
If I ILOCAI 100 Pill' HWY t 10 111! AT MASON till(t POAP 11) R14HT AT AID 110f POA11 (11 1 1 NI R I I Ir I IA 1,1,11 AT RffRFRx 1p1 , litt I Ill S I F'All I f I Rf 4 W[IN AN P 16 H I
11M 11IFNIT Arf,041'' NIIII AND VOID If U01 of 111#11 Rilf I I no AlITH11P,I"JP IS 001 (ANAfNi F# 141 lM lAt llilvi, UP If I OAS I R Ill'I I lig of 140IR I IS S111,PiNfiffo flip A PIP1110
of 110 DAYS At ANY 1 10 AMR UORr 1ti 1`13MO(H), fVIPt#I'f` llf (ONTIN"Alifto qF 9611) IS A PR(0401"I5 J#Mrf]ON 411111# lot Igo !LAY Pf#fQli FINAJ. lVPffifoo Nflif Kt
APPROVED Affay!: 1111110146 to Of q*p!f'TFfl-
P
OWNER Op AfiF#Ti
ZA bAlf. 1?
1110-PINT, rev: 03/'31191 CONP1. 1ANCF 10 AITACHED ('ON[)f I IONS V; RLQIIIRt-.D
CONCRETE MECHANICAL MOBILE HOME
Footings Setback date _ !� �! '2 QC_ Ribbons
date Gas Piping date b
Foundatio II — date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls 1! t FIRE DEPT.
date date 0 ` W date by
PLUMBING Atc `' OTHER
Groundwork date t—1 T'�b
date b y
D.W.V. WALLBOAfID rNIMP
date date ` by
Water L FINAL SP[CTION GrL�
date by date z _ date by
1� �GZti ta(-Z- ` 3—
i
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
F.O. Box 186 Shelton, Washington 98584
,' ) : 1 t ISt. 1 t!i c•. j�la, i i ;r ., . ., ,a i
I,
,
--_9 (?1' '3 ;`at� t .`+11t _ �t71i�, 1 �?i' tto. 1 4 Y 1@>'d �t1"!?Jil lb . }'it, t - .. ti ,
� ) Pi apt := _I q {.1 [1?' f_u[ xi fai 13 id y 1ra'i11 ; ct 11 ),Il<,->rmUt t(1--At vt 1hop t 0 ttb hr.. r -111
laftf'-. 1 ftl�'i ! tl at "I t11lF'1l m 0 001i�r•�t�l< 1 <aitl ed � l iS# r1,:'I i
I
i oil 1 ""d ' All l I I a1
r "y „il t u. � r
r urt`.t 1 l,a, i i ref
p l ony mi p 1 qu l r od to ba on- i 1 o lot 1 tit,.(t,z;,4 Y r?11 tlff Ftt� �,.: - ! - r
r
l7tf I' l ""n Fat' "Of "" i 1 0 ., Appi a "„ 1 NJ I I Idly I Inc, r�1�a"I Or! 1 Pt .� dd t i i a>i1_
&I 1�•; t t! i hr =ili " loft" 1 $ 10 of Pot h ,"r ' fili tt ii4["M l ll"m l "i I l b" hati qual jjrl
a -0 1 F d by I-F+ i e1-P0! i_tiv"j ! , 01 1 o ,any I f f tf>
I' !i l 1 i it�:.:,Far..�.. f x iy;'t..y Ifs;, j t�l'i p§'-f 1 t+a'-fidh;cl t:1.
t, y 1'11k`:"AN; 1il IN" i "INI ( Flium 1111t1oflk! 3 t-i1111 , Kul 11 "N A"hii a' NyH bif- l1ta" 414 , Alt I 1If4 N11' 1
1101-'I Al'I'f-9°"VI- 1 E�1111+AFIQ• HE lilfDRv4nf ., r'1�ily 11 p IN ',11f 11 A 1'f.1='� i i AN Aq I " Of k1 11F11 Q vi41111I
MNA 1 1 0 1 "I- ; I VOM 1 N1 414FIf "k 1"hD I fs ON I INN fill I'ltt+Pl P F 1 . Pia 4olwl C fluid i `i' E111 I l h 1 mt.,
OtrAR1M1NI 1.10011;F `_; IHAT 1 " Il "i- iriizVIFll:o I'1 l "w to iAIl INK low Amv Kill I t !' Ifr�fl�, _ 11
1-'i fIN141017t' 11 +'Its# I l - HfiY D ON 11fiil q LPG fAHI F AA Of INN 1011 110111'sfUN VIIII hIN" f 11[!i Will HI
AKn I�t 3 I t;tt.NI k i t i1'N I Rml 1 10 VA 1 I n 1 0 PO I AD PHI `" ON 4 1 '1 v PH I or r 10 Flo"! IN(-,
�i AI I 0WQ I"hllt I ] ON MU ; I MFI f "F f xi: I 1 It All lilt ail v0PIK AMP 1111i
o
J I
II
I
-,
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1,v Noi-, (#11 ot'lill v 101 tle. A111
ON (i<93t 1 1 flN MI", i "Vi I t- i f) I fit Al 11 ilM
(11( F 0 H I i t I N
i I I 1 1 V1 I<I i V I I) A" M A
I I tj I Pi if 0 i l I fit 1 N 1
WASHINGTbN
STATE
CODE
ENERW BuildingRecord WSEOCmbmt# Attachment B
PROGRAM For Site-Built Residential Buildings Heated by Electric Resistance or Heat Pumps
(please check one) (please check one)
New Building ❑Addition over 500 sq. ft. Single Family ❑ Duplex
Jurisdiction: A ❑Multifamily ❑Zero Lot Line Home
❑ Planned Unit Development +
please check one: ❑ City County Permit# 7 7 54
File I D#(if different from Permit +
................. :::::.......:•::•::::•::::.:..
A. Site Information B. Owner Information
Address Pe A, Owner owner at time of construction receives utili ment
tr>'� / f Kam/
City )P /71-on Zip Company
Assessor's Property Tax# or attach legal description): Address cb
/L L/'rr,e_Y t'GK L OZ city State Zi
Servicing Electric Utility D,;3 Phone
C. If Single Family,Zero Lot Line or D. Duplex E.If Multifamily(R-1)
Planned Unit Development First Duplex Unit s .ft. Total #/Bld s.
Total Conditioned Floor Area s . ft. Second Duplex Unit s . 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)
❑ Electric Baseboard None Is
Electric
Electric Wall Heater Wood Gas
❑ Electric Furnace ❑ Electric Baseboard ❑ Other(specify below)
❑ Electric Heat Pump ❑ Other (specify below)
❑ Other
EM
WSEC Compliance Method For Heat Pump Only:
Prescriptive Path Built to the Electric
Date of Permit Application J'-,3/-g 4C
❑ Component Performance Requirements of WSEC? Date Buildinq Permit Issued -
Date of Insulation Inspection %
❑ System Analysis ❑ Yes ❑ No (If yes, Date of Final Inspection 4 - I - g1 Co
utility may offer incentive.)
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
the WSEC, and that the WSEC checklist for this building is on file.
LSignat fBuilding 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 5-95
i
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION ( ,l
__426-W.- /P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRIN O
#1 Owner GL � Phone# — 3
Site Address ,� Fire District#
City � �[ /y St Jf! Zip
Directions to Job Site .� � : `� no
L - —
,C
Owner Mailing Address '� 2lJ ✓ _/1/�,�_ s�T. $.�
City >�w1iA St 4Z2 Zip
Lien/Title Holder &�7PA �i4/�!l7 5 ,E���—Ae/JvZ2:
Address
Clty a 5 St 4_,d zip
#2 Contractor Name _
�1���C21,�h�a l�/l' L� Contractor Reg #
Address /.d Z2 y 7/ / -�.�E �lLoy� � • Expiration Date
City St 1q,11,V _Zip 9515 Phone# ,= y_�`/7?"
#3 If septic is located on project site, include records.
Connect to Septic?___jf�L Public Water Supply ✓Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No. 5212 7 - d
Legal Description -'-07' /DES /)
#5 Building Square FkV xisting/proposed)
1 st FI / 2nd FI / 2 O 3rd FI / Loft /
�asement__/ Decker/ bedrooms / #bathroomsarage / Carport / (Circle:Attached or Detached?)
Other T� sq. ft. /
#6 Use of building �r Describe work_
#7 Type of Job: New Add Alt Repair Other
S �j
M BILE/MANUFACTURED HOME INFORMATION ME %a
#8 O D
Model Year Make Model � 1994
Length Width Serial No. MAY 2
# Bedrooms # Bathrooms Type of Heat a Yi���
Purchase Price $ ��
�^1"r't� v 6
#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 r
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)
in relation to plot plan
Name of Fronting Street
APPLICANT TO DRAW SITE PLAN BELOW
i
� � N
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
c0, ,er�
N)
f
r=
ti
Plumbing Fixtures $3 each) Fig Mechanical Fixtures ($6 each)
No. Toilets / CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins 3 Heatpump, Other ';e&*W-C/e4,60 Zle—
/ Bath Tubs No. Unita Fees
�P,[J _ Furn BTU
f Hot Water Htr Heatpumps
Laundry Washer 3 _ Vent Systems
Sinks a Spot Vent Fans 2
Floor Drains No. Boilers/Com rep ssors
_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.
3 3 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 OFTHE 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 X BY
DATE DATE
00,
FOR OFFICIAL USE ONLY:Aceepted by Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: Mull�) SA ))�1kS
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit a�,5
Plan Check (b
Plumbing Fee -
Mechanical Fee "7, (f)
Wood/Gas/Pellet Stove mm,,
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
�S Other
Building Valuation: TOTAL FEE