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BLD94-00999 Final SFR - BLD Permit / Conditions - 12/5/1994
MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 fit? I ill 111 1 1 11 N 1 1 4;'I -14 t>7 0 t r4 I, Ill IMI im 4;17 7;>62 I)ENN11.31 SIMON 42(* --OS40 I lik 3 H C'0N1i1R(1(' I` f0N 4'.)6 -4 11 1 ot I# Sit! AV I Y pr Y AM R f fIPI I Y P F A 01o"111 1 4 Y 0 A I t R I t f I P f I it F I t t�t It 1.1 1 Pit Hf I fill I P R 1 401, #1 (PH 68 if 6 11)4 j#0 1 �Rlt 1 40,60 fpH ifilj76104 0001 P IT 6 8 1:'6 4 #Ai PIA ## CPH @ A I"I; ili kj'j P I f.t #= 5# iPH #8 fq4 I 1 40 Ill h irl j j t J� F f 11 4 1# CPH 1118116 114 4 11441 1(11 A t 4 v 4 1111 A I 1'911 !t Ift J-4,1 1 f I t' 'jj lj 40 11f 0 41 01 1 f Ill m 1st ik 1 14 1 0 0 l,' H 111 I9 10 i:0 111, If 1,;PN I 1 iisi 1 F.0 0 f It F AI V'1)M P Vt N I '-Y' l'I M 0 1-,V I)t 11 E 00 1 1 1--N li 111 0 ti it hk 1 N 1 1 N I ittkN 1 0 V f, N I I AN I-j.1 11 0 N I!l"y I pit`( 0 N - 0 I It 14 N III I Nit IJN I I C I)Of m 1, A t4f IN 0 A k'14 111 N 0 h 1 N 1 0 000 r t ill . - 0 ft V 1 0 i 1:1'A I J" 0 A f It I kW I N A 1 0 .10000 t I lit vp o T 14 f le k I N'I I n 0 m I I I i A I I F I ............. Rf I of#IJ 8R0(t,0Ajf , R1401 As JINsEN ROAD. . mt AT Y IS "'160011AR PLAtJ. PROP01Y 4111 R1601 Mf JUST RHORE (019E5AL 8ftlis1 ' OuLt AND VOID If woo Aii msmimo§ AUTH041.1fo JS "At (01NmED 41111,1114 146 DAYS, All If (OWNW10111 OR WORI 15 SUMODIED f0A A PfRIII(I 180 DAY,; AT ANY fj§:' Alf(ER 4099 IS CORNtICEA, Miftlitt Of (0111141JAII0111 Of VORk T) A PROWSS [OiPWION 411010 I[Of 180 DAY P10160 rt4pi IVM0104 11111SI bi (AN Ilf 0(cuplip, > Q4 tit fil,ii i Hil tit OR 9"—te _j I - MASON COUNTY Mason County III 426 W. Cedar tY Bldg P.O. Box 186 Shelton, Washington 98584 EA; IL...0 :1M IL.... L11 :::II::: 1'4 4;'ii 0=:" D::::: If;il: I1,11'0 :::1:: "'If F O R INSPECTIONS C A L L 4 2 7—9 6 7 0 BETWEEN 5pm AND 8am 427-7262 BLD94-0999 PARCEL : 321322390014 PLAT : DIV• ? BLK : ? LOT : ? JOB ADDRESS : E 200 STONEBRIAR PL SHELTON OWNER : DENNIS SIMON 426-0540 CONTRACTOR : 3 M CONSTRUCTION 426-4795 LEGAL : TN 1 of NY SW NH C LASS 0 F WORK . . : NEW BEOR : 3 . BATH : 3 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT TYPE OF USE . . . . : SF STORIES . . . . . . . : 2 OCCUP . GROUP . . . : ? 8 L 0 G . HEIGHT. . : 0 . 0 f t P R M T j 405.11 CPH 08/26/94 37011 R L C j 40.00 CPH 18/26/94 37001 TYPE OF CONST . . : ? FIREPLACES . . . . : 0 RADN j 8.01 CPH 18126/94 37111 P L M t 60.00 CPH 08/26/94 37001 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 PICK j 212.50 CPH 08126/94 37001 DWELL . UNITS . . . . : 0 PARKING SPACES : 0 NCH j 51.01 CPH 08126/94 37001 INSPECTION AREA : 3 SHORELINE ?. . . . : N S T F E t 4.50 CPH 08/26/94 37001 TOTAL: 771.01 VALULATI0N: 83652 SETBACKS-------------- TOILETS . . . . . . . . . . : 3 FUEL TYPES----------- BOILERS/COMP---- MOBILE HOME---- FRONT . . .W 75 . 0ft BATH BASINS . . . . . . : 4 : /ELE / f / : 0-3 HP . : 0 REAR . . . . E 5 . 0ft BATH TUBS . . . . . . . . : 2 3-15 HP . : 0 MODEL : ? SIDE ( 1 ) . N 64 . 0ft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------ SIDE (2) . S 64 . 0ft WATER HEATERS . . . . : 1 FURN )=100K BTU : 0 30-50 HP . : 0 ? SHRLINE . ? 0 . 0ft CLOTHES WASHERS . . : 1 FURN — FLOOR . . . : 1 50+ HP . : 0 —YEAR------ AREA ---------------- KITCHEN SINKS . . . . : 2 HEAT PUMP . . . . . . : 1 ? LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0 BUILDING . . . : 1784sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 4 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT. . . : 0sf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#---- DECKS . . . . . . : 210sf DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS-- COMML . INCIN : O ? GAR /CARP : G 622sf GARB DISPOSALS . . . : 0 (= 10000 cfm . : 0 RELOC /REPAIR : 0 AT/DT . : A URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT DESCRIPTI0N:RESI0ENCE PROJECT L0CATI0N:NORTH ON BR0CK0ALE, RIGHT ON JENSEN ROAD. , LEFT AT Y IS S T 0 N E B R I A R PLACE, PROPERTY ON RIGHT SIDE JUST BEFORE C U L D E S A C THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 181 GAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD OF 180 DAYS AT ANY TIME TER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERI00. FINAL INSPECTION MUST 8E APPROVED BEFORE BUILDI CAN 8E OCCUPIED. OWNER OR A6ENT: �J�--�_ DATE: BLD PRMT, rev: 03/31191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED CONCRETE ! ^, • MECHANICAL MOBILE HOME Footings-Setbac t5 9'!/- OCS 3 date by Ribbons date Z by Gas Piping date b Foundati9fi volls date 4y Set Up date by INSULATION L'rS date by BG/SLAB Insulation Floors Final date by date date by FRAMING y FIRE DEPT. date 10-(ci— c7 Eby (,J Walls Ip/2c�'/�1�� date by PLUMBING dateAttic '`,��� OTHER Groundwork date by ,.,7— date by WALLBOARD NAILING D.W.V. dat C.s V 1 by C 6 1' � /CLL4 / G✓ �� date by Water Lin FINAL INSPECTI 9 date by date by date ` L/ be� i J MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location E 2-c>o 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 J16' 3 • s�c�e5��'Ste" r J 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 /d,OK to �1w� ,,�e Department Date 10� 1-��C7 Inspector`I moo Al ., 'OT F1401 TH [ - �� 1 MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location - 2-.go s+nhe-te\kc." . 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 OQ2 2 S r VA- 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 ❑ OK to Department Date �L Inspector ■ 1004No OT rk Mo *V TH I MASON COUNTY -� Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . : BL094-0999 For : DENNIS SIMON Page : 1 1 ) The use , handling and storage of hazardous materials or flammable and combustible liqu ' ds excess of 10 gallons is not allowed without the approval of the Mason County Fir M al . 2 ) Propos d structure or any portion thereof greater than 30" in height from grade line , must in n a minimum of 5 ' setback from all property lines , easements and right of way X 3) All approved plans are required to be on—site for inspection purposes . If inspection is called for and plans are not on site , Approval WILL NOT be granted . In addition , a Re--Ins ection fee in the amount of $30 . 00 per hour (minimum 1 hour ) will be charged and must e collected by this department prior to any further inspections being performed or appr al gra q X 4 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 ( C ) AND SECTION 513 , ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSP CTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE ASSES D IF OWNER /CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSP IO X 5 ) ALJQC ST�ION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REME X 6 ) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code , 1991 Ventilation and Indoor Air Quality Code , the Uniform Building Code and /or Mason County Regulations must CbpeNgapprovled by Mason County priorto constructionX 7 ) DEPA U CNTOANDRUNISS TO BILbINGD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING MASON COUNTY Mason County Bldg, 111 426 W. Cedar R0, Box 186 Shelton, Washington 98584 f non No HI 1194 -0- D! NMI 4 rhQ qw . handlinq o"d yr i "I 14J44-, in oxc-vc of 10 4 M ci Vat 4--1 1 11-t;� - "r ongriypyrtion ihoreof qr -avar Ihnn 40" i ir h- i qht from wad" litro . a m 11 1 t bw 1, lion all pi "p"rtv Ii "— . -a-mmeniq and riolft of A ) All approvod plans Aro rcq"ired ! A bn o"-nit-v ! or 04p-, ij "" plflpa V . 11 i "Spovii "11 aJlpd for And plan aru not o" ilp . Appin-ol Will N" I ho qla"t "d In additi -ti . I 4w ln�v-chivn fee in tho am""rllrt ot $ woo phr ha", imloim"m I h-"I ) oil h- rhavri"A and — 1 I.Pc l:y d by t h i n doparvult"ny prior to mixy Wit h-r i b- j "" p,ljojm,4 or q r Ile 41 PURnUANi If) 1441 ONJFOAM 01111HIM6 j "DI , qjjIjoM 404 ( j ) hNif ' illl "N 411 , All nlifn M"" I HAVIL AF1'v0VL0 NUM111- H4 Ok A1 Dki- nm4 PROVIL11- If IN ,WH A V0nIlI6N A4 lo hl PIAINIV Vinlidill AND LF61HIL FROM THL nlk1VI OR ROAD lknNIIN" IHI Pp( piNly mn%"N follmly 111-111DINt) nrPAhTM1-M ! kPqUlHk & THAI 11-1,14 111- tOMPIlItn" Pul "If In f AI IIN" 10P ANY wIIV iMqI-IvjI "M4 A If f NK III, I I I oh r f i , HAKID ON IwAIIK IN TABU 1A Llv IHI! 10,11 1111111011N H" IlDIN6 1 "111 UILI K AbkInSIO IV 0WMI-h /C"NINAcI0k I' AlIA VO P1,41 ADPIJI oN " III rw , "k 10 111001- 41IN', IN5PH16110112- T A! I Rut I ION Mi. & I WE I OR I XVFFH A! I I Of Al ( OHI " RM" W Phou jr rha"ClOwlin OPWOvOd huilditjq Pla"N that " I' l -et cnmVij a", o I ho 1 "41 1-14phi "cil,"n I norqy dc, . 1941 WnWaiion and indoor a i I O"a I i t t' 0 d e 1h''o Uniform H"ildinq ( ndq o"d/or mason ( o"n I y Roqui , lion, MPWI hP mpproved by Mason Lorfrity prior to C"rintloei`jo"). IP,QF FI O C OPP n W VLI' VIVII A On I RI 0 P MW 111 ON f OHM I y 1111I I D I N(v • Pr IP It IN 11 In N Pn P IN 11 M U I L D I M iq to"; MASON COUNTY Mason County Bldg, III 426 W. Cedar j P.O. Box 186 Shelton, Washington 98584 8) THIS PROJECT WILL MEET THE LONG TERM SUPER GOOD CENTS REQUIREMENTS AS AGREED UPON WITH THE ELECTRIC UTILITY SERVICING THE PROPERTY . INSPECTIONS FOR ENERGY CODE COMPLIANCE ( INSULATION & INDOOR VENTILATION) WILL BE PERFORMED BY A UTILITY REPRESENTATIVE AND THE FINAL INSPECTION PERFORMED BY UTILITY STAFF MUST BE SIGNED OFF PRIOR TO THE FINAL INSPECtTION PERFORMED BY THE MASON COUNTY BUILDING DEPARTMENT . If changes occur and you deciCA notAo meet with the LTSGC program, contact the MCBD at extension 284 to arrange en y cooflCj,_F compliance . x 4 AMASON COUNTY Mason County Bldg, 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 j Permit No. l� �J MASON COUNTY JUL _ 6W4 BUILDING PERMIT APPLICATION • 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT Moto # IU S/moo _ O25l' Phone# T Zz- o S �/O 7ite Address Ta H2 Fire District# y L`ro�3 St coq- Zip`7 a5�'S� Directions to Job Site V 02 1 tf o 0 t4-7- ), J 2 LEF— C!.2L b"�_ _a`fG . Owner M iling Address .20210 City 66i�L 7-&1� St 4'J 19 , Zip .S�Z Lien/Title Holder s t9 A) Address 30 7 ©L_vi11 Pj C I4('to y City S 46c. re-tJ St w g , Zip i #2 Contractor Name R_ I C14� (� 60 c9 C 7- Contractor Reg# k1QK k0K/5/zi�9 Address 'F'iZ_7 L.N. S,c�-� . Expiration Date/ City ©L.ym Pii4 St COO . Zip 985 12. Phone# 3.5 Z — 32_$2_ #3 If septic is located on project site, include records. Connect to Septic? t-"" Public Water Supply ✓ Well Connect to Sewer System? Name of System ON Sj i-6 S�PT C S` � a2r1}i� (If residential, proof of potable water is required) #4 l No. 3L13 2. - Z3 ee l Description STO fJL 6ZIAF— r' #5 Building Square Footage: (existing/proposed) 1 st FI / 2nd FI / Z3 3rd FI --f— Loft — �0 Basement "—T Deck / Z/O #bedrooms / 3 #bathrooms /C?- Garage / 49 Zz Carport —t-- (Circle. ttached r Detached?) Other sq. ft. / #6 Use of building l�ES t �>&h)Ct'L Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Mo 10Near Make Model JAcingth Width Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Price$ #ndicate 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 ' ' s Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography "qP � Septic Systems Wells Proposed Improvements Easements Indicate Directional by (N, S, E, W) Name of Flanking Street Name of Fronting Street in relation to plot plan APPLICAJNT TO DRAW SITE PLAN BELOW SAG i 1 � APPLI ANT TO TOPO PHY PROFILE BELOW 0 'I I I j i I Ic V) �117 i I Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each qNo. *Toilets CIRCLE FUEL TYPE: Gas Elect Bath Basins ( 2 Heatpump, Other `Bath Tubs No. Units Fees !"-Showers Furn BTU T f Hot Water Htrs Heatpumps j Laundry Washer Vent Systems / 'ZSinks Spot Vent Fans 3�' 'loor 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 $ 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 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 DEP TMENT. DEPARTMENT. X OWNER X BY DATE �J — `� DATE FOR OFFICIAL USE ONLY:Accepted by: Date: -- DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: po Environmental Health: (!Qx Dn.'NA SA-ETA--��G 1cn._ S �n -VAS AAA Qpn b mkt os SyN(Ae 1 W,')� at UM,&� I Building Plan Review Occupancy Group Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit b5.Qb Plan Check �a Plumbing Fee 6© Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other P L C C- L 1 s _ ®o Other Building Valuation: TOTAL FEE ��