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BLD96-01393 Final SFR and Garage - BLD Permit / Conditions - 8/13/1997
MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 E3 LJ I IL- 0 1 N CA Ir-, L.. FA M I I u wi i wo-PELT I Otc.') CALL 427-9670 OrYWEEN Spm AND Sam 427- 7262 131.096-1393 PARCEL :322027590052 PLAT - DIVIT aLF -7 LOT -? ,JOB ADDRESS : NE 274 TEF LAKE END TAHUYA OWNER STEPHEN MCKIMSON 584 -3158 CONTRACTOR GUTTORMSIEN RR01"ERS LEGAL t TA E-2 OF SP 1�5375 SFE SURV 314 CLASS OF WORK . cNFW BEVA 1 3 BATHt u tYPI AMOUNT BY DATE RECEIPT TIPE ANOUNI PY DATE RECEIPT TYPE OF USF _ L",F STI)HIFS . . _ . C2 OCCUP , GROUP _ 7 BLDG , IIE I GHT . . - 0 .0ft ADOR $ S.10 VJP 02110197 43905 TYPE OF CONST . tl FIREPLACES — — t 0 1PRIT $ 475.5# NJP 02110/9T 41996 OCCUP . LOAD . . . . . 0 WOODSTOVES . . . . : 0 PICK 1 237-75 Nip 0?110197 43905 DWELL .ON I T.S . . . . . 0 PARKING SPACES : 0 ISTFE 1 4,51 #JP 02110197 43905 IN'OPFCTION AREAL 2 SHORE t. I NF 7 :N 111I'llp 1 26.01 Nip 12!11197 4390f) 110TALI 146.T5 qAt(I[A1I6Rt 0 To I LETS . . . . . . . . . . .. 0 FUEL T YPES--- BO I I-ERS/COMP--- MOBILE HotAE- FFrO44T S 50 Of t BA'r" BASINS . . . 0 03 HP . : 0 REAP , . . .N 14O ,Oft BATH TUBS . . . . . 0 3-15 HP . : 0 MODEL SIDE ( i ) -E 14O .Oft SHOWERS . . . . . . . . . . 0 FURN < 10OK 13TU - 0 15-30 lip 0 -MAKE---- SIDE (2 ) W 50 .0ft WATFP HEATERS . . . 0 FURN >-100K BTU 0 30-50 HP . : 0 SHRLINF . O .Oft CLOTHES WASHERS . 0 FURN -- FLOOR . t 0 5 0+ Hp 0 --YEAA------ AREA KITCHEN SINKS _ ; 0 HEAT POMP . . . . 0 1.OT S I ZF F1,0014 DRAINS . . . . . . 0 VENT SYSTEMS . 0 FVAP COOLERS % 0 LENGTH , 0 BU I LD I NG 1 4403st DRINKING FOUNT . , . : 0 VENT FANS . . . . i 0 H 0 0 DS . . . . . . . : 0 WIDTH . i 0 BASFMUNT O%;f t.AUNDRY TPAYS — . : 0 DOMES . I NC; IN :O -SERI AI. #- ,- - - DECKS . . Osf DISHWASHERS . . . . . . t 0 AIR HANDtING UNITS— GOMML . INCIN -0 GASICARPiG 378sf GARB DISPOSALS — : 0 10000 ofm ' '. 0 RFLOG/RFPAIR ; 0 AT/DT . tA URINALS . . . . . . . . . . v 0 > 10000 ctm . : 0 OT14ER UNITS . ; 0 MISC PL.M FtxTuaEs : o GAS OUTLETS . r 0 PROJECT OESCA IPT 10ki RESIDENCE AHD GARAGE PROJECT LOCATION- TO Tff LAKE TAKE FIRST ENTRANCE FOLLOW 10 111 IAI(l PINES of THIS PERMIT BECOVES lUtL AID VOID If MOAT( 01 CONSTRUCTION AUTAORIIFfi IS §61 C011ile,'t1 V!TRIA ;Of DAYS Of If CONST111ICTION OR WOPX IS SUSP(NOED FOR A PIRIOU Of 180 DAYS AT kRY 11111f MIEN VOPY IS COMMENCED. EVIDENCE- OF COVIIN."'TION Of WORK IS A PROGRESS INSPECTION WITHIN THE 160 DAY PERIOD. FINAI INSPECTION MUST BI APPROVED BEFORE BUILDING u.0 BE OCCUPIF11, 7 5ATEt 'ITIONS IS REQUIRED COMPI I CE 40 ATTACHED C041 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date Z- 2 '- 9 i by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by L date by �✓ 5/�-fig-5' � i MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 i-, v ui m I "r 4C7: () N U-) 1 1 ! 0 N V--', Case No . : BLD96-1393 For : ST17PHEN MCKIMSON Pagel I 1 ) The undersigned property owner Is aware of the uncertainty regarding Mason Count S development regulations created by the Growtha r Mnagment A earings Board ' s di oy , octoher 2, 1996, and In consideration or MF-,qon County 's willingness to pro(.-:eed with processing of appli oat ions whloh itilght be affe;(�teo by the Order, the undersigned Property ow h by ner ere a prees to waive any lawsuit action, or claim for damages aqainst iason County which may arise out of Mason County ' w actions in acceptance , processing and/or Issuance of ju(,h permits or, approvals (heroirtafter "permitting aotions") . whioh damages are attributable to the County 's decision to take permitting actions despite , the riRk that changes to the CountV ' s development regulations might later mal<e the Ccunty 's permitting actions Invalid . X + 2 ) Tf- is appi Inat ion is subject to go-if fer and Landscaping resiuirements a estat-I ished under f4ason County Ordinance 1 .03 .036 . A 3 ) The use, handling and storage of hazardous materialn or f lapintab I o and t-ombust I b I e - liquids in excet3s of 10 gallons Is not allowed without the appro al of the Masson County Fire Marshal . X 4 ) Proposed struct-jre or, arjgt port ion thereof greater than 30" 1 n he itiht f 1 om grade i I no. must maintain a minim(firt of 5 ' setback from all property lines , easefilpnt; and 10 ' from a I I C my and State Road right of ways , X 5 ) Approved per dimensions and setbacks on submitted site plan . 6 ) All approved plans are required to be on-site for Ins ectf (.,)n purposes . If inspection I :; cal I ed for acid p I a;i<, aro not on site Approv a I WIN, NOT be cant ed . In addition, a Re- Inspection fee In the amount of T32 .06 per hour (minimum I gotir ) will be charged and must be col lected by this depariment prior to anv further, Inspeotions being performed r-r approval granted . ———————————————— ————————— ---- __ -7 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 X I > PURSUANT TO 1994 UNIFORM BUILDING CODE , SECTION 306(C ) AND SECTION 513 . ALI.. SITES, MUST HAVE APPROVED NUMBERS OR ADDRESSUS PAOVIDF1) IN '-,UCH A POSITION As TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET 09 ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REOUiRFS THAT THIS BE COMPLETED PRIOR ro CALLING FOR ANY SITE INSPECTIONS . A PEINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE '1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNFR/CONTRACTOR f'AILA13, 10 POST ADVPrS1,; ON SITE PRIOR TO REOUESTING INSPECTIONS . fE 8 ) ALI. STRUCTION MUST MEET OR EXCEED ALL LOCAL CODE AND URC REOUIREMENTS , X —------__ 9-.) Changes to approved bui iding plans that effect comp iance to the 1991 Washington State fnerqv Code , 1991 Ventilation and Indoor Air Qua I t y Code , the Oviform Bu 1 1 d i nq Code andlor Mason County RpquA at i ons inust be approved by Mason GounfV prior to 10) CONSTRUCT iON PROCES5 l'O BE FIELD CORRECT.EW REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND �INIFORM BUILDING CODE , x MASON COUNTY BUILDING DEPARTMENT 1991 WASBINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE OWNER j7�AQi l 9GCO,y y1 f- TELEPHONE OWNERS MAILINGADDRESS wr t-fS2eS, 1,9cc�m�, w,4i 9PSqQg COMPLIANCE INFORMATION TYPE OF PROJECT: NEW RESIDENCE()ADDITION()REMODEL()OTHER AREA(SQ.FT.) 1ST FLOOR 7z? 2ND FLOOR '71(q HEATED BASEMENT --69— Note: Heated basements must be insulated and finished to meet minimum energy code requirements. TOTAL SQUARE FOOTAGE OF CONDITIONED (HEATED) AREA COMPLIANCE METHOD: PRESCRIPTIVE PATH — circle option -i@ H III IV V VI VII VIII Glazing percentage (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 HEATING SYSTEM: ELECTRIC RESISTANCE ( ) Electric Central Furnace jR Electric Wall Heaters ( ) Baseboard Units () Radiant Panels () Other OTHER FUELS ( ) Heat Pump () Gas Furnace () Oil Furnace ( ) Other ( ) Boiler System (indicate type) Make Model Size AFUE HSPF VENTILATION SYSTEM: 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. OWNER'S NAME: -5kpde.,l 1(C©yAlle MclelmscwV 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. �r 3co©z- / Z('XZe 5 t r 3000 m z0 11 3©o \ ► y8 / 8°yyo 3 Z. )m 199 2°y2o / 1 i e)oo , y e;) y°X30 2. / 3aoo , y g 1 30)(5/° Z TOTAL WINDOW AREA DOORS BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT. TOTAL DOOR AREA Z\ GARY YANDO,DIRECTOR y�N STATFO sC , DEPARTMENT OF COMMUNITY DEVELOPMENT N = PLANNING -SOLID WASTE-UTILITIES N Y Y BLDG. I • 411 N. 51 ST. • P.O. BOX 578 of �� SHELTON,WA 98584 • (360)427-9670 1864 DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD, LAND DIVISION APPROVALS,SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS: The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County's willingness to proceed with processing of applications which might be affected by that Order, the undersigned property owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter"permitting actions'),which damages are attributable to the County's decision to take permitting actions despite the risk that changes to the County's development regulations might later make the County's permitting actions invalid. 6' - S 2 Date (Parcel No. or Legal Description) Property owner's signature(Notarized) (or the County may accept the signature of the owner's authorized agent upon proper proof of autho-W glut �. • ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) 1�U• PUBS-� STATE OF10-0r 0— PS` . COUNTY OF OI RSC� On this X day of , in the year,before me J Notary Public, personally appeared &Jj Sk\ —personally known to me to be the person whose name is subscribed to this instrument,and acknowledged that he/she executed it. WITNESS my hand and official seal. -For County use only- Rev'ewed.y appGeant on ate) Notary's signature My Commission Expires:��"� Staff Initial: � f �� _� � - .- �:,._ 1 h� .. v � � • . � \� �, . �, �;�. � „Y ,� r, . Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT 1 , ##iiwte ner S! t1Ah ei�/ Y-(fC7NiVi e- ff'0�i(`/ia�1SoA/ Phone# C� S��3 l 5-g Address n 0'1+ T� �--)4 Ve- 66Ld Fire District# y G. )u ea- St �- Zip 8585 Directions to Job ite t Owner Mailing Address �313 �3�rh .4ue- S60 �fz8 City i4COIM St VA' Zip 967976 Lien/Title Holder Address Clty St Zip #2 Contractor Name Contractor Reg# Oct77-0 05C-/57QD Address /V2ZZ Gc3c5d2tC,G\^ l^)ie Expir io,,nn ate_ 4 2- City �, C AAe—b cue St Zip L ' Aine�# r`` y #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4� �Legal Rarcel-No. 2-Z Ce- - 7 - 26-K S�Description 7-e. l ,a ee- awes Ao 71- #5 Building Square Footage: (existing/proposed) -�19 1st FI 7Z 7 Ft-. 2nd FI `711116,15' 3rd FI / Loft / ,a Basement / Deck / #bedrooms 21 #bathrooms Z /— Garage 37S / s�_Ft- Carport / (Circle(Attached r Detached?) Other sq.ft. / #6 Use of building ?&s/d-0.1c e_ Describe work- Qa V6 05 #7 Type of Job: New_��Add Alt Repair Other to 0", #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model"` Length Width Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Price$ -� t #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 I Show following on the site plan Lot Dimensions Flood Zones , Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography j 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 DRAW SITE PLAN BELOW EA�eeyQaf o (�oP GN 2_S}oR�( &-L7 q� APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW j Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 each) No.-S Toilets (DO CIRCLE FUEL TYPE: s, Electric, gBath Basins ' ©o Heatpump, Other 41� Bath Tubs No. Units Fees Showers �•�� Furn BTU T-Hot Water Htr Heatpumps Laundry Washer SO 0 _ Vent Systems _Sinks 5 Spot Vent Fans _Floor Drains No.. Boilers/Compressors _Laundry Basins HP Dishwasher '�3 C)o No.. Air Handling Units Disposal cfm# Urinals No... Fire Protection Systems Other _ Auto. Fire Alarm Sys X50.00/Fixed Fire Supp. Sys Permit Basic Fee 15.00 Auto Fire Sprink Sys TOTAL PLUMBING $ . Other Gas Outlets Wood, Gas, Pellet Stove 3_2 LO� 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- TOTAL MECHANICAL $ �c� 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 DEPARTMENT. DEPARTMEN . X OWNER X BY / DATE DATE l FOR OFFICIAL USE ONLY: Accepted by: CAJ Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY �Prov ed Cond. Hold Approval Planning: ,3 Environmental Health: Building Plan Review ti Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: , ©Q FEES --?I C - im Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee O Other HCAJY156 5 Other E� / Building Valuation: -7 ( �l I q TOTAL FEE Pl-