HomeMy WebLinkAboutBLD149666 SFR - BLD Permit / Conditions - 11/28/1983 I FL-rmit No. 14966 Type Residence No. Floors 1 Square Footage 858
Owner Shelton Const. , Inc. Phone426-1600 Date j,jA-8_
Address P
Contractor Same
Address Zip
Plan Check Approved by Stock Shoreluie by N A
Applicant's plot plan approved as to setback requirements, by D. Fawver
Legal Description:34-21-3, U ~ Lot #27
Direction to project site. Highway 3 North to Mason Lake Road `hen t
Evergreen Drive
FeePaid: an Check s tk Permit X Plumbing X X Sewer X
Wood Stove—Fireplace Dick X Gage —a port Y,
Basement loft --TMn Floor X Story
Inspections:
0 a
II Foundation:
Compacted Fireplace footing
Farms �Anchor bolts
Foundation wall &rebar Pier spacing
Basement wall & rebar Vents & crawl space
Retaining will & rebar Soil-wood clearance
III Framing:
Floor Blocking
=ers & posts Bridging
Joist size & grade Sub floor type
Span Grade & Nailing
Walls
Ma erial Grade
Bracing Exterior Siding
Ceiling height Nailing
Roof
7p roved trusses Hurricane Clips
Rafters Purlings
Cathedral Valley rafters
Beams Sheathing
Span Flashing
Blocking Weather application
Nailing
Fire-stops
�&s —ceilings
Shower walls Furnace ducts
Dropped ceilings Main electrical box
Roof Holes plugged
Firred-out walls Others
Stairs
& Tread 4 Fbadroom
Width Stair Jacks
Landings �� hadrails
1' l
Inspections:
o o a.
Fireplace
motion ❑ ❑ No. of flues ❑ ❑
Flashing For
Soffits
Soffit Vents ❑ j
Closed Ridge Vent ❑
Cathedral
Windows & Doors
IDpact protection _ Header Span
Openings Insulation
Sill Height Ca-LUdng
Attic
-�tilation ❑ ❑ Access ❑ ❑
IV Plunbing
tents & Jacks Pipe Runs
'Yaps Bathroom Facil.
Clean outs Handicap Facil.
Hot Water Pressure Valy
Mechanical
Fans:;Tt-@ien & Bath Cl. Dryer Vent
Furnace & Ducts Stove vent ❑
Insulation
CeiUng E ❑ Exterior Dbors ❑ R
V Interior Cover
Finished oors ❑ ❑ Finished Walls Q Q
Type 1�w
Nailing
Decks, Balconies & Lofts
Guardrails ❑ ❑ Structural Sup. ❑ ❑
Fire Protection
Doors R
❑ Broke Detector (j
Firewalls & Ceiling Wood Stove ❑
Final & Occupancy Approved. Date L /� S , By:
REMARKS
I ai h
II
I
BUILDING PERMIT APPLICATION
/� ry
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 3
DATE ISSUED
PERMIT NO. ( (10
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Inc. N E 22771 Hwy #3 Belfair Wa. 98J28 26-1600
DIRECTIONS
TO JOB SITEHwy #3 No. to Mason Lake Road then to Evergreen Drive
LEGAL ^ (❑ SEE ATTACHED SHEET)
DESCR. Lot 2 Rainbow Lake `"� 2
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR
same as above
USE OF
BUILDING Residential
Class of work: KI NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
New Residence
lAr
Valuation of work: $ PLAN H F E PERMIT FEE
C
SPECIAL CONDITIONS:
BEDROOMS DECKS JL CARPORT X C y NOTICE
BATHROOMS l TOTAL SQ. FT. 54 GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES 1 BASEMENT:K 828 ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SQ. FT.-8-5& FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
I certify th I am a currently registered Contractor In WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinan requirements regulating the work for which
the p mit is issued and all work done will be in
conf mance therewith. PERMANENT ❑ SHORELINE
SEASONAL ❑ FLOODPLAIN LI
Firm HELTON CONSTRUCTION0 INC. E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. SH EL—TC 6260PT Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEP
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT //
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date . By(--)
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA ION CK. M.O. CASH
�^ MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT— Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel.No.
Shelton 98528 2 -
Owner
z. Same as alove
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature of applicant Address Application date
N E 22771 Hw,-
LEGAL DESCRIPTION
Location
Of
Building Rainbow Lake Lot #27
NO. PLUMBING FIXTURES FEE
1 WATER CLOSETS (9-Anr;
1 BASINS Comp
1 BATH TUBS Combo
SHOWERS
1 WATER HEATERS
1 AUTO.WASHERS
1 SINKS
FLOOR DRAINS �7
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
1 DISH WASHER
DISPOSAL
URINAL
If
(Show Street Names & Property Lines)
-- INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
/ ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit issued Permit number Receipt No.
� �a� � � L
MASON COUNTY PLANNING DEPARTMENT
P.O. Box 186 Shelton,Washington 98584
MECHANICAL PERMIT APPLICATION
IMPORTANT- Complete ALL items. Mark boxes where applicable.
1. LEGAL DESCRIPTION
Location Lot #27 Rainbow Lake
Of N S N S
Building
E W side of feet E W from intersection of
Sect. Twp. Range
NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE
1. Forced air or gravity type furnace or burner including ducts C 14. For the installation or relocation of each boiler or refrigeration
X and vents, up to and including 100,000 Btu's-$4.00 4`� compressor over 50 horse power or each absorption system over
1,750,000 Btu's--$25.00
2. Over 100,000 Btu's-$5.00
15. For each air handling unit to and including 10,000 cubic feet
3. Installation or relocation of floor furnace and vent, suspended per minute, including ducts attached thereto-$3.00
heater, or recessed wall heater-$4.00
NOTE: This fee shall not apply to an air handling unit which
4. Installation, relocation, or replacement of each appliance vent is a portion of a factory assembled appliance, coaling
installed, not included in appliance permit-$2.00 unit, evaporative cooler or absorption unit for which
a permit is required elsewhere in this Cade.
5. Repair, alteration or addition to each heating appliance, re
frigeration unit, cooling unit, absorption unit, or evaporative 16. For each air handling unit over 10,000 cubic feet per minute
cooling system including installation of controls regulated by -$5.00
this code---$4.00
17. For each evaporative cooler other than portable type-$3.00
6. Installation or relocation of each boiler or compressor to and
including 3 horse power-$4.00 18. For each ventilation fan connected to a single duct-$2.00
7. Over 3 horse power to and including 15 horse power-$7.50 19. For each ventilation system which is not a portion of any heating
8. Over 15 horse power to and including 30 horse power-$10.00 or air conditioning system authorized by a permit-$3.00
9. Over 30 horse power to and including 50 horse power-$15.00 20. For the installation of each hood which is served by mechanical
exhaust, including ducts for such hoo"3.00
10. Installation or relocation of each absorption system to and
including 100,000 Btu'"4.00 21. For the installation or relocation of each domestic type in-
11. Over 100,000 Btu's to and including 500,000 Btu's-$7.50 cinerator-$5.00
12. Over 500,000 Btu's to and including 1,000,000 Btu's Commercial or industrial type incinerators-$20.00
-$10.00
22. For each appliance or piece of equipment regulated by this
13. Over 1,000,000 Btu's to and including 1,750,000 Btu's Code but not classed in other appliance catagories, or for which
-$15.00 1 no other fee is listed in this Code-$3.00
FIELD INSPECTION Basic Fa $3.00
Date By Remarks TOTAL `� C`-
Name Mailing address -- Number, street, city, and State Zip code Tel. No.
► '-'he - I fair, wa , 98528 426-1600
Owner
C SAYE A ABOVE
Ontractor
The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY
signature of applicant Address Application date
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE
Approved by Permit fee Date permit issuetlj,V(/ Pelmit-ngber Receipt No.
S ���A (IAII ��
PLOT PLAN
ADDRESS PERMIT NO.
' o
LEGAL
DESCRIPTION LOT BLK ADDITION A;�/q q/
SITE AREA_11 6-1_S Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS . Sq.Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE c~t
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) O N
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION A"ID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL U' ¢'
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- `-f ~
TION THEREOF.
C-t _i�
F'•
o rI
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' (D
H
5 r ,�
YL
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
��f'.y
NAME(3) OF OWNER(3) OF 11TE 5 STRUCTURE(S) (PRINT) SIGNATURIE O OWN (S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINEAPPROVED
j�-
DISTRICT AS NOTED DATE L 'y
6HELT ON P";N TINE