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HomeMy WebLinkAboutBLD94-01394 Final SFR - BLD Permit / Conditions - 10/4/1996 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F O R INSPECTIONS CALL 4 2 7—9 6 7 0 BETWEEN 5pm AND Sam 427-7262 BLD94-1394 PARCEL : 32134139O114 PLAT : DIV: ? BLK . ? LOT : ? JOB ADDRESS : E 570 MIKKELSEN RD SHELTON OWNER : EDWARD SMITH 427-2655 CONTRACTOR : E&S CONSTRUCTION 352-4439 L E GA L : Tr. 11 of SW NE, TR D of SPt 184 CLASS OF WORK . . : NEW 8E0R : 3 BATH : 2 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY GATE RECEIPTI TYPE OF USE . . . . : SF STORIES . . . . . . . : 2 OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : O , Oft PRMT $ 378.00 KS 10/31/94 37658 STFE $ 4.50 KS 10/31/94 37658 TYPE OF CONST . . : ? FIREPLACES . . . . : 0 1 R A 0 N $ 8.Of KS 10/31/94 37658 R L C $ 40.00 KS 10/31/94 37658 OCCUP . LOAD . . . . . 0 WOODSTOVES . . . . : 0 1PLM PLCK $ 189.00 KS 10/31/94 37658 DWELL . UNITS . . . . : 0 PARKING SPACES : @ $ 45.00 KS 10/31/94 37658 INSPECTION AREA : 3 SHORELINE ?. . . . : Y IMCH $ 39.00 KS 10/31/94 37658 1T0TAI: 703.50 VALULATI0N: 74736I SETBACKS-------------- TOILETS . . . . . . . . . . . 2 FUEL TYPES---------- BOILERS /COMP---- MOBILE HOME--- FRONT . . . N 25 . Oft BATH BASINS . . . . . . : 2 : /ELE / / / : 0-3 HP . : 0 R E A R . . . . S 18 . 0ft BATH TUBS . . . . . . . . : 1 3-15 HP . : 0 MODEL : SIDE ( 1 ) . E 1O . Oft SHOWERS . . . . . . . . . . : 1 FURN < 1O0K BTU : 0 15-30 HP . : 0 —MAKE------ SIDE ( 2 ) .W 1O . Oft WATER HEATERS . . . . : 1 FURN )=1O0K BTU : 0 30-50 HP . : 0 SHRLINE . O . Oft CLOTHES WASHERS . . : 1 FURN — FLOOR . . . : 1 50+ HP . : 0 —YEAR------- AREA ---------------- KITCHEN SINKS . . . . : 1 HEAT PUMP . . . . . . : 0 LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0 BUILDING . . . : 1768sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 3 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT. . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#----- DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS-- COMML . INCIN : O GAR/CARP : ? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm . : 0 RELOC /REPAIR : 0 AT/DT . : ? URINALS . . . . . . . . . . : 0 10000 cfm . : 0 OTHER UNITS . : @ MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT DESCRIPTI0N:RESI0ENCE PROJECT LOCATION:NORTH ON H W Y 3 TO MASON LAKE TO LEFT TO M I K K E L S E N ROAD RIGHT TO JOB SITE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD OF 180 0AY'S AT ANY TIME AFTER WORK IS COMM C VI0ENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL INSPECTION MUST 8E APPROVED BEFORE B'JI!IT'': CAN BE OCCU ED �}� OWNER OR AGENT: 9 -- DATE:, f��'r/ , —9 8L0_PRMT, rev: COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED 4ASON COUNTY L -F3 c-1 c Mason County Bldg. III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 4I 1. K 4 i 1 a' [�i+ V�, I Is N'. 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'f . ,, <' UItfNit1. `; 0 1 I0000 , lilt ter rf11 1 11P41 1 ' +D MI '3f, t'IM f IXT11Itt ��-. -�+�. .•,���o---•���<-�:s�-�:.-��r,-�:<•_.—�--_,:ate>.�..'.:. _�r,�,�� __ -.s=w.__,�-�-.._�e•=�..._�--,- ----z:-•��•.=.-r 0R9.1ftT GtSLRIPTION;RFtiTRfNt1 _ _ _ f�RtLiEf1 IfIeAT ION:NORhN ON NWY 1 Tit Will IAK£ 10 tEff 10 NTKKftSfN ROAD RIM TU -IOR Siff I Inks PfRNIf b1coof.S Nutt AMP VOfO IF 401t OR IOp'i1R11YTION AUINORIlfb IS Not fUNAfN[fR WITHIN I9,1 1'S, fig It I +1NS1RHf (TAN OF UARI IC SUspF ICfffs JOR A PfRtnit Of 101 RAYS Al ANY TTNf AMR WORK IS fONA NC EVIbFNCf Of ffINTINUAllaw 1F WORK is A PR06R£S� IN_ FfTII'm t11fN1N fR 181 DAY PfATOR FINAL INSPfClInR NN•;l Of APYRQVfO BFfORf BU(t!1 BAN Bf 4fClI" fit �� OWNER OR AGEN1: Il DAIF° / 91141 PI.D_PkNi, rev: 1;131/91 CONPI-IANCE TO At IACHFO CONDITIONS IS REQUIRED CONCRETE MECHANICAL _ MdBILE HGME Footings-Setback date © ' ( —� �-L 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 ,� `�j -?OPD _,2 — date by FRAMIN� �° Ck Walls FIRE DEPT. y date date b PLUMBING Att b / OTHER Groundwork dte� �•� ;`fir '�-� b r Y date D.W.V. b WALLBOARD NAILING C date d by Water L INAL INSPECTION date by dap _ •Zt-_ date G�1�t� by n I I II II I � MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . : BLD94-1394 For : EDWARD SMITH Page : 1 1 ) The use , handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire M rshal . X_ 2 ) Proposed structure or any portion thereof greater than 30" in height from grade line , must maintain a minimum of 5 ' setback from all property lines , easements and right of ways A0 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—Inspection fee in the amount of $30 . 00 per hour (minimum 1 hour ) will be charged and must !- ­ collected by this department prior to any further inspections being performed or appro 1 granted . 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 REINSPECTION FEE BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNED /CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPEC IONS . X 5 ) The use „ handling and storage of hazardous materials or flammable and combustible liqu3 ' in excess of 10 gallons is not allowed without the approval of the Mason County F i r o �/��,,h a 1 . X 6) ALL C ` RUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUT NTS x 7 ) Changes to approved building plans that effect compliance to the 1991 Washington State MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Cpsv No i HI 004 13q(i For : FDWAPD 9MIli P a q e : I 1 ), kAqP � h0ndkillq a"d storaqe of hwalrdn"o mavprimls or flammahl " and romb"4tihi :' lynidn 1 " w—pow of 10 qnllons is "or Wowed without the appro-n ! of Vo Macon Eo""iy rchal 2 ) PrnpoKod structure 71 any,pni- flon thoroof rfreaLor fha" Ao" io h-jqht from quode line , M"qt maintain a min M"IN 5 ' notbAck Vrom all pvoppl-tv li "qs . -agempnVw and sinht of way 3 ) All appiomod pla"w arp req"ired to he on- qJJ­v for It wwp-cLton ral led for and piano are not on vilrp , Approval Will No ! 6" rita"iod In addilin" . '4 Ro-Inqpp0in" fee T" the mmo"nt of $30 , 00 per hour (minim"m L h-"; ) vill bp nharcied arrr; must be collected by thig dopartment prior to any I "r1hur Qoppctlons hpinq pertormpri of, app;q al granted , 4 ) PURS"ANI 10 1411 UNUORM 8"JIDLNq ( 011F , NUCIION "On ( cl ANO nfulloN nil , nit biliq mUMI HAVE APPROVIRD NUM1117149 OR A0D1QF9%I­ 9 PROVIDED IN KPIK" A P0q1lI "N As 10 HU )' IAINIY V1511-1111 AND LFu LP! F FROM THL &TRECT OR ROOF FRONTING ! HE PRuVFViY MA%"N COUNIV fur 11DINf., VEPARTMI- N1 REO"TIAES THAI TH14 HE COMPIFII' D PRIOR ry ipippy r"h ANY qllf lN4PFCIJDNv . 0 RIINSPFCTTON FEF1`qQSFD ON RATES IN TABLE AA OF 11-11' lQ41 HNIFOPM H F 1111DINA w "D Will HE-r Aq q ,, FSSFD IF OWNF CONTRACTOR FAI19 VO P09T AonRE54 ON SJIF PRIOR 10 RFQ11Fqj1Nii INSPEL11ONA , N ) ! he us- , hnndlinq and storaq, of ha candor matprials or flammablo and cnmhu%tthlw_ liq"idn in pyvosn of 10 ciallonq is not alloupd withn"Ir the appr"-ai ol- 1hp Manon vo""hy Fire MI. "5hAL X 911 AIL CONSTRUCTION M"'I NEf ! ON FXrT,FD All IOCAI VODF4 ANH 11"I PVOUj;QfTS AD Chn"CIRS to aPfJV0V0d bUildinq Plant thAt 01f-ct VoMplianvP Lo lh- lQ1I Hawhinqfon Win! - MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Code , the Uniform Building Code and /or olasoji County I k2yu_la (—Luii-� mu,:3L be approved by Mason County prior to constructionX_ _ —_ 8 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED QUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE . x 9) 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 INSPECTION PERFORMED BY THE MASON COUNTY BUILDING DEPARTMENT . If chances occur and you decid of to meet with the LTSGC program, contact the MCBD at extension 284 to arrange ener ode compliance . x MASON COUNTY Mason County Bldg. 111 426 W. Cedar RO, Box 186 Shelton, Washington 98584 4 41 r o d(i4 * I-1 0 11 i f o r ffl Hui M i bt,? APPI oved by ma"on Counry 1)r. i 0 r to o n S r,I j c I j c)11 0 NS T P. I 1 ON P It I I r,F H 1 0 1 U I i.-, I D C'0 R f I F f.-I f�D o I I 1 14 r f) 1,1, m w-;o N I I N I Y IM I I II I N ci 1)F P A R I '�I N I A N I) ()N I 1 1)Prl HI.)I 1 1) 1 N6 C0 D I I II I�; p k 0 1 F r F W j I I mt t I I III- 1 0 N(i I F V M U 1,F p (I n 011 c f PI I w fm I lel ml N I w1f. 1 I D IIPIIN IA I 1 11 • THE t- I f 1*1 R I C 0M 'fly ',I--I,V I-C I N 6 1 10-, PROIII R1 y I NI-iPf-( I ION', 1 111-1 f Plf It(jY 0 111 1 0 M 1,1- 1 A N I f I N S I I I f1 I 10 N h I N 0(11-1 k VI-N I I U A f I ON I W.1 1 1. 111: Pf'Of (IRMI 0 HY A II f I I I I Y R I PR f NJ A I I.V1 AND I Hf. f' 1 14 A I I N'�Pf C I I ()N Pf R f 4)RIVIf 1) HY III I I IIY I-,I AF I MI—; 1Hf. '-, I (11`4 1,1) 111 1- P P I I IR It1 iIII f- I NAI I N P F C 11 ON Pf.kf-ORML 11 BY IHI. MA',0N 1:01INIY HIIA ( DING III-PAP iMI tal I I I honrleGi orciju, and you r, I� -,r I G p I f)o 1-.,4m 1%o I at, I thoi m('1W "0 I'o arri,111cle cif� i () m i� MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location -7-0 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 //L/S i/,) F— S C4U1 TO+ ►�.E; 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 `mil ►� Date Inspector ■ �� N� �T Mo *V T 1 , T " ,��- 1 Xy L L.�t.1 t'l� C 1�► i Lo -r 4 ! i i i . � tti.i► C.J. I Sh &P 7-;"D 4 ._.+_r...�..�.,r.w.--r.�+.w_.�..�.+.�. ..�_-.w.- ..---r._._._._..��r.._...-..,1.......... ._.....�,+...--.-..........-fwM.��w...M.�ww�M+..wM M+.....� H i 1 --lop im � Y� AA rtr �n(V A AZI �,v -da , 1 tj f _ , � i • i � 1 i tJ �. �; i .�• x a=aL__'Z bxtr ---------- ------ -�--------------- WATTSUN 5.4A LONG TERM SUPER GOOD CENTE/1991 "CS COMPLIONCE REPOnT FILE : A:TAYLQR.W,1.-', HOUCE TV: Analyst: TERRI OBER�� zhelton, WA Du3s-14 jurIGAMMon: MASON COUNT ;' Utility: MA00N CQUNT� PUD Homeowner: House Type: Single Family Floor Area: 1768 Ft2 Builder : Weather Data; Dimpi tit, 0% Glimate Zone: :1. Tha PROPOSED design QUALIFIES for SOC( 91 MCS ) Tier 1. REFERENCE PROPOSED COMPONENT PERFORMANCE 311 307 Stu/hr-F 1E1 ,G1 BUDGE-11- kWh/ft2-yr REFERENCE DESIO11-:41 Raferenca , Component Description Value X Area ----------------------------------------------------------------------------- BG Wall 3.5 R21 batt 3.5' w/TB U-0.040 291 80 slab 3.5 , F-0.556 971_t slaz : ng @15% 0.35 U 'Valu-.L- U-0350 265.2 Metal R5 base case 1 1-0.1,90 24).0 AG Wall -R21+R5 ADV U-0.041 1060 43.!... Coiling, Attic R49 blown Attic a U-0.020 284 17. ,-' infiltration Standard air scaling ACH-0.350 13702ft3 27.�::.: L.�.....W................... Ref orence U,'-. ----------------------------------------------------------------------------------------------------------- PROPOSED DESION COMPONENTS Component Descr i pt i on Value X Area UA -------------------------------------------------------------------- So Wall R21 Batt w/TB 3.0 depth U-0.040 291 11. BO F-0.556 97ft 53.131 Glaming 411% ""ALPINE NFRC XO LOWE ARGO!,,' U-0.350 129.0 47.0 ANAINE NFR OD WE ARM1,1 U-0. 30 340LP CLO 4 3 . KAGARDEN WINDOW U-0.900 16.0 Metal 1-3/4- urethane flush U-0.140 20.0 ------------------------------------------------------------------------------- ------------- ------ -k A valucs wFack walculation of thermal valuu . ldjuotau "A to reflect 7-1/L mph W : nd speed. ----------------...........-- Pagc 1 ------------ WATTZUN 5 .4A LONG TERM SUPER OOOD CENTC/1991 MCC COMPLIANCE REPORTyi FILE: o:TAYLOR.WS HOUSE 10 ;: --------------- As Wall 1 ,21 1NT Lap Wood U-0.054 651 31 R21 1NT Lap Won,-, U-0.054 435 E6 coiling R49 blown Attic ADV U-0.020 884 17 . infiltration Ctandard Sir scanng ACH-0.350 13702ft3 , S7 . j -------------------------- proposed Uri 30 ;, Struc Mass Slab w/carpet w/pad, Sheetrock wall M- 5.000 176S ------------------------.:---------------------------------------------------- -- HEATING/CDOLING/VENTILATING SYSTEMS PROPOSED Heating System Type: Electric: Zoned System Efficiency: :100 n. Modified Efficiency: 100 Design, ACH, 0. scign Load( at 53F dt ): 19588 Btu?hr Total Load: 19588 Stuyhr System Size: 8.5 kW Average Annual Heat: kWh.; Annual Cost: Ventilation System: integrated Spot & Whole Cooling System. SEER: Cooling Load( at 5F dt ). 801/11r, System Size( %O Ix' r ), tonQ0125% ) Annual Cool Requmement'., kWh ;- Solar Acceso; Partially Shaded ------------------------------------------------------------------------------ GLAZING ORIENTATION' PROPOSED South North Southeast Northwest East x Wt" West Northeast Southwest --------------------------------------------------------------------- .......................-I............. ............ ................. .......... --------------------- 01 MASON COUNTY BUILDING DEPARTMENT 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE OWNER �iX61.,'D TELEPHONE ' !Q`7- COMPLIANCE INFORMATION TYPE OF PROJECT: O NEW RESIDENCE O ADDITION O REMODEL O OTHER AREA(SQ.FT.) 1ST FLOOR l 2ND FLOOR _ HEATED BASEMENT Note: Heated basements must be insulated and finished to meet minimum energy code requirements. TOTAL SQUARE FOOTAGE OF CONDITIONED (HEATED) AREA / 7L COMPLIANCE METHOD: () PRESCRIPTIVE PATH — circle option-- I II HI( V VI VII VIII Glazing percentage /S (total glazing area divided by total conditioned area) ( ) COMPONENT PERFORMANCE — Chapter 5 — attach documentation and worksheets ( ) SYSTEMS ANALYSIS — WATTSUN 5.2 -- attach documentation and worksheets WATER HEATER (vy"E/lectric water heater () Gas water heater HEATING SYSTEM: ELECTRIC RESISTANCE ( ) Electric Central Furnace qjEilectric Wall Heaters ( ) Baseboard Units O Radiant Panels O Other OTHER FUELS ( ) Heat Pump with electric furnace ( ) Heat pump with gas furnace ( ) Gas Furnace ( ) Oil Furnace ( ) Other ( ) Boiler System (indicate type) Make Model Size AFUE HSPF VENTILATION SYSTEM: (4 Spot and Whole House () Central Ducted System () Integrated with Furnace () Heat Recovery System (air to air heat exchanger -- heat recovery heat pump) GENERAL NOTES: Your building plans should indicate certain compliance measures: framing to be used (standard, intermediate, advanced); type of vapor barriers being used; location of furnaces, hot water tanks and other equipment; location of solid fuel burning appliances, fireplaces and their combustion air duct runs; and termination points of exhaust ventilation fans. � WI NDOW & DOOR SCHEDULE WINDOWS INCLUDE ALL WINDOWS, SKYLIGHTS, SLIDING GLASS DOORS, FRENCH DOORS AND STORE DOORS. ANY WINDOWS IN DOORS (LESS THAN 50% OF AREA) MUST BE TAKEN OUT OF THE DOOR AREA AND PUT INTO THE WINDOW AREA ON THE SCHEDULE. BRAND MODEL U-VALUE QUANTITY SIZE TOTAL SQ. FT. TOTAL WINDOW AREA DOORS BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT. TOTAL DOOR AREA p � � p Permit Nb3 MAS 2 BUILDING PE IT PLI'MTION � C\ 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-80 - 62-56 PLEASE PRINT #1 Own r I »tD, r Phone# �,-9 7- '�(cs- ` ESjM e Address E 570 ,�,���J��,/ ,i Fire District# _-s-- City � zrro rci St _Zip� _ Directions to Job Site GVJZ! Div 2.jLly ro il1. � X*�� i'7.� Owner Mailing Address City 71 7z= St aAg —Zip Lien/Title Holder Address City St Zip #2 Contractor Name of 5 Contractor Reg# 4-5eD cJ-AJs-Ja Address /01 1 d'-Z�',' Expiration Date /Z / 67 95-1 city St W4 _ Zip Phone# #8 If septic is located on pro' site, include records. / Connect to Septic? Public Water Supply Well t/ Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4(jIl arcel No.��-gam f� -�4 - 21 1 4 egal Description ]Lb7 �L'4T v�y 7� #5 Building Squ re Footage: (existing/propo ed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / 50 #bedrooms / #bathrooms / Garage CU / Carport / (Circle: Attached o 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 circli he applicable source if any water is on or adjacent to subject property: River Pon 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 Direction by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each No._/Toilets CIRCLE FUEL TYPE: Gas Electric Bath Basins Heatpump, Other Bath Tubs No. Units F i Showers 3 Furn BTU C Hot Water Htr _ Heatpumps Laundry Washer 3 Vent Systems C Sinks Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basins HP r Dishwasher No. Air Handling _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 $ . 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 �,A-5_00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL �$ J` 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- 1 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. DEPARTM T. X OWNER X BY I DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: f DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: fZ,773 Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit i.otcLw6e = z uA jnjor� Plan Check Plumbing Fee 5Ub - Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee s-c, t� Other Other �! Building Valuation: /4 7, TOTAL FEE