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HomeMy WebLinkAboutBLD95-01120 Cancelled SFR - BLD Permit / Conditions - 1/19/1999 t 1 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 JIL-II. I L. D 1 N Ca P E R M I T FOR INSPECTIONS CALL.. 427-9670 �. BETWEEWomItND Elam 427-7262 ----14LD95-1120 PARCEt. :321 364100000 PLAT : 1141 , LOT : ` • JOB ADDRESS r IF6402 ISTATIE ROIJIE 3 SliEt TON NULL & VOID BY EXPIRXIrYON OWNER : GFORGIF O'DAY (206)377--6002 CONTRACTOR : -- DATE �BY LEGAL : Ilk ME SE - . _.,- - ..�:�;.,>�,x�..�.•,•n`s.�-.�:�.:,mow, CLASS OF WORK . . :NEW BFDR : 3 .BATH : 2 TYPE AMOUNT BY DATE RECEIPTYPF AMOUNT BY DATE RECf1P11 TYPE OF USE . . -S F S T OR I E S . . . - - ill .- —1.- �f _—_.�.-—t-1— .= —_:::_=A—% . . OC,CUP . GROUP-. . . :? BLDG . HEIGHT . . : 0 .0t't: ADDR $ 5.00 CPR 09126195 40341 (PIN $ 46.01 CPR 09126!95 40341 *T1'`PF., OF CONST . . :? F I RF PI.ACES . . . . : 0 PANT t 463.00 CPR 09126195 40341 lot" t 51.b0 CPR 09126195 40341 OCCUP . 1 OAD . . . . .. 0 WOODSTOVES . . . . : 0 RADII $ 8.00 CPR 09126/95 40341 IFIRP S 25.00 CPR 09126/95 40341 DWEt L. .UN ITS , . . 0 PARKING SPACES : 0 PICK S 300.95 CPR 09!26195 40341 1 PNSPEG4fON ARF A c 2 SHORF..L_ INE7 . . . . :Y Siff t 4.50 CPR 0412619S 40,141 ITDIAI: 905.45 VAI.VIATtON: 103068 SETBACKS- - .__._...._.- ___ ._. ... TOIL-F.TS . . . . . . . . . « e 2 FUEL- TYPES _____._...__ BOILERS/COMP-----_ MOBILE HOME--- . � FRONT . . .W 200 .0ft BATH BASINS . . . . . . s 3 r : 0--3 HP . : 0 REAR . . . .E 350 .Oft BATH TUBS , . . . . . . . : 1 3-15 HP . : 0 MODEL : S 1 DE ( 1 ) N 200 .Oft SHOWFRS . . . . . . . . . . : 1 FIIRN < 100K BTUs 0 15--,40 Fif' . : 0 MAKE 5 FbE (2 ) G, 350 .Oft- WATER HEATERS . . . . : 1 FURN ?=100K BTU - 0 30-50 HP . : 0 ,a SHRL I NE . N :Oft CLOTHES WASHERS . i FI,IRN -- FLOOR , . . : 0 5 0+ HP . : 0 -YEAR AREA - __.-- -._---_- .___._ KITCHEN SINKS . . . . : 1 HEAT PUMP . . . . . . : 0 LOT SiZF . . . FLOOR DRAINS . . . . . c 0 VENT SYSTEMS — : 0 FVAP COOLERS : 0 LENGTH : 0 BUILDING . . . : 1644sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOONS ` . . . . . . : 0 WIDTH . : 0 BASEMENT . . . : 16.14sf LAUNDRY TRAYS . . . . : 0 DOME INCIN ;0 - SF DECKS . . . . . . : 312sf DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS— COMML . INCIN :O GAR/CARP :G 624sf GARB DISPOSALS . . . : 0 <­ 10000 cfm . ; 0 RELOC/REPAIR : 0 AT/DT . :? t1RiNAlS . . . . . . . . . . : 0 > 10000 ofmn : 0 OTHER UNITS . : 0 MISC PL.M FIXtURES : 0 GAS OUTLETS . : 0 � -^x:^pus-:.--¢..tic.�cae�'o��tx=s-_�sv.>C--.-„_,....-,a.xx-�rx's::::,.c::..:,e�s�r•.�.��.�-.rsc..--a ;S a�-...-.....,......-::::z.r.�_—=`a.-._�-r.::.ree+.cr..�xaa^_s-c_:Y+t�����:. __ - t�cc�zcsasr.•r.��s.^r_�:-sstza-m.�.��. .....- _. �jpec-R PROJECT DESCR let 10N:IfSIDENCF { PROJECT IOCAII011011RN RIGRI AT t 6400 1111 3 0 AROUND BARN ON SOUTH SIDE SITE IS ON EAST RIttIGHi ONLY DRIVE GOING LIP IRE Hitt ON 111f RIGNI. i T81S PERMIT BECOMES RU11 AND VOID IF WORK 09 CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 110 DAYSC1, OR If CONSTRUCTION 01, 10ORK IS SUSPENDE11 F09 A PERIOD OF 190 DAYS AT ANY ll*f AfIE'R °WORE; IS COMMENCED. EVIDENCE Of CONTINUATION OF WORK IS A PROGRESS INSPE10N 111111N TNV I30 D Y E11109. FINAL;,}NSPECTION MIISI BE APPRO71 0 REfOIF BUILDING CAN RE OCCVPIE@. OWNFR OR AGE$]: @ATE: P;It PIMT, om 051811 1 i COMPLIANCE: TO ATTACHED COND LT 1 ONS IS F49U IAED ,,�~ I CONCRETE y " s S- MECHANICAL MOBILE HOME •� Footings-Setback date Q't Ribbons date by Gas Piping date b Foundation Walls r r date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING c'= " �• yIr« %v~ /' Walls FIRE DEPT. date 5- Z G)- by date by PLUMBING date S-Z 1- 9t by 1-� Attic OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date date I-Z-1�t L ti Water Line FINAL INSPECTION date by date by date by Gy Qon G f-5tY'U"t PAD fi 3h (`l J-`I C� i (��caocsl i CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Pipings tr- date b Foundation Walls date b Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by Building-Permit MASON COUNTY ' BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 6voL 3 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 Z. ' J Oi yr e-14 P TY,{ .oy-, t) �f �Yc�� �-F `� vs7�-t/ Ole—,a/ A,,) / :C) 9/0 c i`?'ff i�� C,�e'1.t.rc./ dcr,G c✓ '�. G'cra�t trov,l��... !4`j i Tom../< <� �� ee.. 2.'th,e to etlti•f lr lq P©t-t.wf:� - [w_� �✓tom._ Gc�c'�{✓ ,Ya.-a.. c'.S�C _ Y.-h4 t� �. r ��,Lx.f7�� � �,f•✓ �/� Cam- ,.`.�.� /-Ti �.-..� l7cc� �i Q r.o�r i� -n6/ � � 7y� x LU lfl "CCU 5�65 i 1� GiCf P.f;�i PjL ,vt� ova.-rtcf.o RAJ G�2C �o3"f d o•.- Cc-�� 5",o/C Q) You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK 1) (-dome%tr ge:r Lj r- Cy-,O' w fw� ❑ Call for re-inspection when corrections are made before continuing /0� ❑ Make corrections, items will be checked on next inspection Frb�r ls, de SfePr do , ,rat ❑ OK to -ro ti�. �af � wr�� �ra� ia d-e•rcu"f. Department ��es��. ip 4,e- pko4o Date Inspector t'�-e'�_z 4 ■ ioo No sT rk MnV ' ItHt T Lot Building Permit # ' MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location Q / d 9 - Zo This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: AfFFOved Pleana ti (-)f- ova S t\ FC_, Items listed below must be corrected to gain code compliance f 'f�/trn �'.z r fG !/ c Dr_✓ .nc4 u o Z "l 4C ..jJam a �� C���k� ,i���=�1�,1- ���c,� �v�.{.�.� � rS�,✓ �c d f /� r�act. -�-�c� a AI-c r 1/O r'orT 'L-'�! 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 �3=/3- Inspector ■ 1000 NUT 'Mo *V T 1, T Building Permit MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 9,5 zi 2� 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 Qh S01*-2P -n 1,6 4 G 421a L.. l� 6i+�-✓� Y C Soi-•-ie. Ccr��s O✓<<� / Sfr�iD l�S�tl�td G_1j Flec-Y6� tic l 1 /V(( 7 Y Ss�s �`S mac(<< 5-}v�rf �r�ci� L��,, CaY�G�/�t er►' f ) a A `DP LC5 �-� ,yo f 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 Qf Department Date Inspector • von NOOTM« OV 11 T ' Low _ MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P E F1 M I 1- C: C7► N 0 1 i I C":? N E� Case No . : BLD95-- 1120 For : GEORGE O 'DAY Pagel 1 1 ) 'fhe use , handling and st oracle of hazardous materials or flammable and combust i b l e liquids in exness of 10 gallons Is not allowed without the approval of the Mason County Fire Marshal . X ` ) Proposed satructure or any portion thereof greater than 30" In height from grades I ine, must maintain a minimum of 5 ' setback from all property lines , easements and right of ways X 3 ) A I I approved p I aanea tare reyu i red to be on--s i to for i nspent 1 on purposes . If 1 aspect ion i :> called for and plans are not on site , Approval WILL NOT be granted . in addition , a Re- inspect Inn fee in the amount of $30 .00 per hour (min I mum 1 hour ) w i I I he charged rand must be collected by this department prior to any further inspections being performed or approval grar►ted . X 4 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECT ION 305(C ) AND SECTION 513 , ALL $ 1 TES Mt.1ST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND I EG 1 Bt.f FROM THE STRF FT OR ROAD FRONTING 'THE PROPERTY . MASON COUNTY BUILDING s DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FIFE . BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUlt.DiNG CODE W1I.t BF ASSESSFD IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS X > 5) The correction list , along with the Fnergy Compliance Workshee?t (when applicable ) is part of the plans and must remain attached thereto . it is the responsibilityy of the app I i cant to make corrections indicated on the plans from they correct i can 1 1 sts . Once the plans are marked APPROVED, they may not be changed or altered without authorization from the Building Official . The permit holder is reponsible to retain the complete approved set of plans on site for the duration of they project . Failure to comply will result in failure of required building Inspections , Fvery permit shall expire by limitation and become null and void if the building or work authorized by such permits is not commenced within 180 days from -the date of Issuance or, if the building or work authorized by such peermitts is suspe4ided or abandoned at any lime after the work is commenced for a period of MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 C ) ALL. CONSTRUCTION MUST MEE 1 0h LA(.LLu ALL LOCAL uODES AND ULV REQUIREMENTS X.___. ' -7 ) PI aoemernt of <,;t ructure must comp l y with standards xetforth per UBC sen , 2907 regarding descending and/or ascending slopes . X_ 8 Changes to approved bu i I d i ng plans that effect comp i i ance to the 1991 Washington State Energy Code, 1991 Ventilation and Indoor Air Quality Code , the I)n i f arm Bu i I d I ng Cade and/or Ma .on County liequ I at i ons must_ bo approved by Mason County prior to constructionX 9) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PFR MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x 10) if the tank size is between 125 and 500 gallons you must follow there guidelines - i I . Tank Is to be 10 feet from any buidling, public way or property line . 2 , if `the tank Is exposed to probable vehicular damage, f,rovide protective bollards . 3 . All weeds , grass , brush , trash and other combustible material shall be kept a minimum of 10 feet away from LP containers . X__ 11 ) PROVIDE.. THE FOLLOWING INFORMATION PRIOR TO BEGINNING CONSTRUCTION : 1 ) PROVIDE CORRECTLY SIZED AND LOCATION OF FIREPLACE AS REQUIRED . 2 ) PROVIDE: SIZE AND DEPTH AND REBAR REQUIREMENTS FOR INTERIOR FOOTINGS . 3 ) PROVIDF ACCORATF LAYOUT OF BASEMENT WALL_ PARTIONS (FOUNDATION PLAN AND FLOOR FRAMING PLANS DO NOT AGREE ) . SHOW SIZED BEAMS THAT SUPPORT FLOOR ABOVE , 4 ) SIZE AND SHOW HFADFRS WHERE` REQUIRED . 5 ) SEE OTHER NOTES ON DRAWINGS . I(b Cv2e5 Y P �Aw ' xo rZ J I�-- � � U p 3 J Lvv � 4. � r q° N a �I MASON COUNTY DEPARTMENT Of GENERAL SERVICES Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 I, ; (206)427-9670 BUILDING PARKS&RECREATION FAIR/CONVENTION CENTER ADMINISTRATION 6-cto VJ RE: Permit Number During a recent plan review for your proposed project, it was determined that the following information needs to be submitted prior to the buildin ermi being processed for approval: g p t W Once the information has been received b o w Y our department, the r o be processed. project ill continue t If you should have any questions, please contact me between the hours of 8:00am-9:00am, Monday-Friday at (206) 427-9670 ext If You can not make contact between those hours, please call and leave message and will return your call as soon as possible. Thank Yo Building Inspector 'I N cc: Property File f� -' MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O. Box 186 Shelton, Washington 98584 (206)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION � i7iJ ale . RE: Permit Number During a recent plan review for your proposed project, it was determined that the following information needs to be submitted prior to the building permit bein p sed roces for approval: 7A%i I Once the information has been received by our department, the project will continue to be processed. If you should have any questions, please contact me between the hours of 8:OOam-9:OOam, Monday-Friday at (206) 427-9670 ext . If you can not make contact between those hours, please call and leave a message and I will return your call as soon as possible. Thank You, , C c 1 Building Inspector cc: Property File r MASON COUNTY DEPARTMENT Of GENERAL SERVICES I' Mason County Bldg. III 426 W.Cedar i! P.O. Box 186 Shelton,Washington 98584 " r' L. (206)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION / / 1 RE: Permit Number During a recent plan review for your proposed project, it was determined that the following information needs to be submitted prior to the building permit being processed for approval: cl� c IY� Az Once the information has been received by our department, the project will continue to be processed. If you should have any questions, please contact me between the hours of 8:00am-9:00am, Monday-Friday at (206) 427-9670 ext . If You can not make contact between those hours, please call and leave a message and I will return your call as soon as possible. Thank You, Building Inspector cc: Property File ( ; I 1 , R. MASON COUNTY BUILDING DEPARTMENT 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE OWNER (2 000-&C D W,)A`) TELEPHONE 3 60 3 2 7 6 aD OWNERS MAILING ADDRESS 2dy t�rs�J pA�-tom`. ��2C-- wy% 5S4 CT COMPLIANCE INFORMATION TYPE OF PROJECT: (�W RESIDENCE O ADDITION O REMODEL O OTHER AREA(SQ.FT.) 1ST FLOOR 1(, 44 2ND FLOOR HEATED BASEMENT Note: Heated basements must be insulated and finished to meet minimum energy code requirements. TOTAL SQUARE FOOTAGE OF CONDITIONED (DATED) AREA ( Cv`t`{ COMPLIANCE METHOD: ( ) PRESCRIPTIVE PATH -- circle option -- I 11 III IV V VI VII VIII Glazing percentage /4 (total glazing area divided by total conditioned area) O COMPONENT PERFORMANC -- Chapter 5 -- attach documentation and worksheets ( ) SYSTEMS ANALYSIS -- WATTSUN 5.2 -- attach documentation and worksheets HEATING SYSTEM: ELECTRIC RESISTANCE O Electric Central Furnace O Electric Wall Heaters O Baseboard Units O Radiant Panels O Other OTHER FUELS ( ) Heat Pump with electric back-up ( ) Heat Pump with gas back-up '( Gas Furnace ( ) Oil Furnace ( ) Other () Boiler System (indicate type) Make Model T,.) O Cct (°6 Size 60, ouc7 /5`rJ (w�,jt AFUE 0 `r HSPF VENTILATION SYSTEM: O Spot and Whole House (Central Ducted System O Integrated with Furnace i O 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. WINDOW & 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. 5'XA'SJ,deg, 6 3 �� T SX I OW c 3 3-H-P icy 3b ob0'c TOTAL WINDOW AREA n' � J' DOORS BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT. OCOUD TOTAL DOOR AREA 3 �0 U-VALUES T Guaranteed for Life. WINDOW SERIES CUCL GUAR CUE AR/LE PICTURE 910/R15 STANDARD ALUMINUM .65 .57 --- --- 920/R20 THERMALBREAK ALUMINUM .54' .52 .46 .39 3320 WOODCLAD .53 --- --- .32 5320 VINYL .49 .36 .35 .33 HORIZONTAL 1110 STANDARD ALUMINUM .64 .55 --- --- SLIDER 1120 THERMALBREAK ALUMINUM .52 --- .42 .37 3120 WOODCLAD .57 --- --- .39 5120 VINYL .44 .37 .38 .34 VERTICAL 1510 STANDARD ALUMINUM .65 .60 --- --- SLIDER 1520 THERMALBREAK ALUMINUM .58 .56 .48 .37 3220 WOODCLAD .60 --- --- .40 5220 VINYL .47 .40 .40 .34 CASEMENT 910 STANDARD ALUMINUM .69 .65 --- --- 920 THERMALBREAK ALUMINUM .60 .59 .53 3520 WOODCLAD .57 --- --- .39 ( 5520 VINYL .38 .35 .34 .31 PROJECTED 910 STANDARD ALUMINUM .68 .64 - --- 920 THERMALBREAK ALUMINUM .60 .54 .50 .34 3420 WOODCLAD .59 --- --- .38 5420 VINYL .49 .48 .39 1 .36 SLIDING 415 STANDARD ALUMINUM .68 .66 --- --- DOOR 420 THERMALBREAK ALUMINUM- .58 .57 .46 .40 5620 VINYL .51 .48 .42 .39 SLIDING DOOR NOT AVAILABLE IN WOODCLAD CLEAR ANODIZED DOOR AVAILABLE IN 420 ONLY RADIUS 3720 WOODCLAD .53 --- --- .32 5720 VINYL .49 .36 .35 .33 SKYLIGHT 750 THERMALBREAK ALUMINUM .73 .68 .63 .56 *780 THERMALBREAK ALUMINUM .61 .61 .59 .45 ALSO COMES IN OPERABLE(SAME U-VALUE) GARDEN AIRE 1800 STANDARD ALUMINUM --- .67 --- --- SKYWALL 910 STANDARD ALUMINUM .67 --- ___ _- 920 THERMALBREAK ALUMINUM .55 --- --- .43 CLEAR GLASS AR = ARGON GAS FILLED LE = LOW E COAT UCLASSALE.CC July 23, 1992 -.... _ _ _.. _ ... .�Y_ 'o'ti'rt fir.}�iY"*sI :.4�'.-_vr..-._, '..Ai.K':11++•w.�• --i.r. : .. c. ..:N ..M.'i.%iY+i �.�. 24 24 7-1 1/4' O o ® 8 iL' 7 12' 5'0 3/ i 9'-812' 11'-41/8' O 12G1 WH r 1G'-8 3 FD r u:. 24 5�3 --- 7LNf zax 1LNf i y of ..V1 .ii LIM .1...►►!• . - © r a -- -- v 14'-0 3/4' FP 5Q132i5L �1XL15L =�%� � ❑ '0iZP� 3O�P1C 3O�ZP ' l(44,qse C,d a ' ^' I zz 42rerIl; 40'OV- AOFCp C 4050PIC clay �on 2L— �► —14 2z , s p Permit No. , fib` MASON COUNTY �q tti BUILDING PERMIT APPLICATION t 6 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �d q� PLEASE PRINT Y` #1 Owner �� �` C © ���� Phone# 3 b � ? Oo Site dress_ / Fire District# S i._l`Z- t-c�w / St 4,-,A5'j Zip Oirections to Job Site "i`y 2 ki V�,e c. 6k{- &ate It oca (4 4' 3 G a 0/ iZ o u 0 (.J }E /S A/GCf� e-QLf=P— P Owner Mailing Address 2. oc, 5� v N1 0/'-LL [ — City J3 2e A-� V(VnNAL St C"AN Zip t cy Lien/Title Holder f00f�' Address City St Zip #2 Contractor Name rz Contractor Reg # Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic?--2�_Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 arc o.3 2 l _ �(� _ b 0 0 0 0 gal Description N C o� c�l� ti C- u cr Tuc 5 Z y S�u�° 3 L Z 1� 2 3 w r1 #5 Building Square Footage: (existing/proposed) 1st FI / (r,14� 2nd FI / 3rd FI / Loft / Basement / t 4 Deck / 3 t Z #bedrooms / 5 O l #bathrooms Garage / G 1,Lk Carport / (Circle:Attached or Detached?) Other l� sq.ft. l 1 5 G Sty 'e C-.'z� ? 3 #6 Use of building 1' ot-2i_ Describe work #7 Type of Job: New Add Alt Repair D #8 MOBILE/MANUFACTURED HOME INFORMATION AUG 0 1 W5 Model Year Make Model Length Width Serial No. '4FALTH SERVICES # Bedrooms # Bathrooms Type of Heat Purchase Price$ #9 Indicate by Zcirclin the applicable source if any water is on or adjacent to sub'e erty: River Ponree tream 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 DRAV LOW Paw` � 2,cc� , �` ,1 , <�'=��i � .i'�' • .., �7 �IZ N, != 'tr1lD i� iuu 1 APPLICANT TO DRAW O%GRAPH1Y PROFILE BELOW l t i o, � Plumbing Fixtures ($3'eacW Fee Mechanical Fixtures ($6 each No.j,,Toilets 6 CIRCLE FUEL TYPfir_ I ctric, &Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers Furn BTU Hot Water Htr _ Heatpumps Laundry Washer _ _ Vent Systems Sinks Spot Vent Fans _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 15.00 Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ �0, No. Other 111 Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF V WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR ermft B a I � _ 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ QQ 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 THPf EWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIR AT OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DE j RTMENT. DEPARTMENT. X OWNER - X BY DATE t 4 DATE FOR OFFICIAL USE ONLY:Accepted by:, Date: -- ---- DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cone Hold Approval Planning: � 5 C� • "C Environmental Health: Building Plan Review 'a lefez Occupancy Group: Type of Const- Fire Marshal Other: Special Conditions: FEES Building Permitce c5 Plan Check Plumbing Fee ov Mechanical Fee o0 Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee -- Other Other Building Valuation: TOTAL FEE 0