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HomeMy WebLinkAboutBLD93-00433 Final SFR - BLD Permit / Conditions - 4/19/1994 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 111 1)1)-1--04 i o o 0 o I it, h I I h P 1 0 it ti Ilriti N f- 1400 1 AM)YA 0 1 Vt R R D U A 14 11 Y A RICHARD 1411 L 27 I I ,it, nwNFR I CON I RAC I OR 11AMA 11VII IMIS It It IS Wa I At V#- 1 14, A I p I I ut j4 v I Ip it I I t!1 1 V, 0 1 1 P h 0 1 P 1 04 14 0 4 Ij I t 4 P A,it A 11 1 It t 1,4 I 19 44 L"4 i4 00 f 111 ts 4 ON 04 i I f I tag 8 14 f I 0 0 I h—o 0 1 io HP 1`11 hill, i 0 0 1 1 "i I H1 f ,f N 1 1 1 lilt j i 1 I lift 1 11 0 N K Ij V 141 1 filoltij 11 tt 0 t401, I jIfjj;Ij I f 6 11 P 1:1t It 1 1,fi I ft 1 0 0 0 0 111 11 h s I" I PI t N 1 0000 1 m 0 111111to tPaI 1 0 test)I I'll f I Ahova V4 t , I Aboy'i pivsf RoAll (0,51 111 i of 1440 1111 attAV (ip hppo�I to t'om I I 101 P140 11 li f I 011f NO I I ANO VAID' If 111-pl; Ap i f-V Tilif I I ON All(NOR I;'f P I S NO I f 41111'of,f 0 w 11.0 IN IIIII DAY',, Oft if I UOS I RlIf I I ON Ali WiRl h SlISN0,1110 f OF A M1100 f EVIDEALt Of (41111#110141 Of U401 I., A pRom! 10'PEil"o wil"Im In 180 yvi Mloti, ftlAt 10�pt(-Iloll 111M BE OWNER OR Afillll .— uAlf BID p4p]. #31 1101 C014P I 'I ANC 1- 1'0 AI I AC HU 1) CONA111 I Owp I'. i<i qss I j,,I 11A CONCRETE $4 u,r L-C-r r`r' " 5 MECHANICAL MOBILE HOME Footings-Setback 2 9 3 z-- date -3 by [._ Ribbons date CV- - 2--- 3 by L- Gas Piping date b Foundation Walls date by Set Up date D t-< -2 1 - by INSULATION date by BG/SLAB Insulation Floors Final date p K r, -Z - _ by C.C---� date by date by FRAMING FIRE DEPT. date .!"�� C._c _ by Walls PLUMBING �K �c r ocJn (, date C)u /p--1243 by L ..� date by Attic LrG�u i+ec lD-/2-53 �- OTHER Groundwork 0U� '"'��o�� -f-e�f- W`' date —2- -5 b L date by D.W.V. WALLBOARD N!SILINCy, date _ _ by L,� date ((�% by Water Line FINAL INSPECTION date�K C/_ 9_ by date :7u by 4 date) by 5-3 6- fly. C- f G r v CL ✓\ \ CZ, t ) 15I ' / X 7 r)G V` 2 G S>o�� i . )e CL?n (-N eL� ;o� ��to P ✓� -��'>L U `. �� i ,rl - C ii eL X Z G, ✓''l - -- ->1l C G 13,1 l - n ek4 + er 4 e tol D4J �i CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date r 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 date by re-c .�c.x, LTV e- Cj _! Tysr S %'�C� t'//� L, Q— I n ►'1 r L 0 n n P_c_ 4 r m, ✓e- " + i7 r �S c,. C c r L I i Q t. I I ni-, 8 r-) C,.JG.J -cr h e�L r! 4-ca �- e >c c r I_ , 1 7. lie,) c t c1qr eS � e+e4 I MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 lit "t 1 0 (it t j I t M t I i I i I I I f i e !It r1 r I f 1 t!4 ill tj fl I o ci f f I I'l I F I I lit 4 1 1 t t f i f 'k f I r; rl 1 'sit lr' 7 ;,JINGTON p E g B :AERGY Building Record WSEO Conh-act (�/r CODE PROGRAM ................................................................................................................ ..... ..................................... ............................... .................................................................. .... . .......................................... ................................................................................... ................. .... .. . ...... .. ...................................... ....................................%................ .......... .........................................................................................................%%.%..%...... ...................................................................................................................... ............................. ........ ............ ............................. ........................................ ........................ (please check one) (please check one) EI New Building 0 Addition over 500 sq.ft. Single Family El Duplex Jurisdiction: ElMultifamily E]Zero Lot Line Home El Planned Unit Development please check one: El City 'E]County Permit# ')3 -- C/-/a -1 File ID#(if different from Permit#) .................. ................. ....................... ........... .............. ........ ....... ...... ......................... ...... .................................... . .......... ........... ........................................................................................................................................I. ....... ............. ............ ............. ............................................. ...................... . ....... . ............ .......... A. Site Information B. Owner Information Address ',,/(-, /(1 Owner (owner at time of construcdon receives utilitypaym nt) City 1czqa— zip Company Assessor's Property Tax# or attach leg al descripti.on) Address AIL I I "I I ? . 'r!t't city Servicing electric Utility Phone C. If Single Family, Zero Lot Line or D. Duplex E. If Multifamily (R-1) Planned Unit Development First Duplex Unit sq. ft. Total#of Buildings Total Conditioned Floor Area 3-' . ft. Second Duplex Unit sq. ft. Total#of Units .............................................................................................. ............................. . .......... .......%..................................... .................... .................. . . ... ....................... .... ....... ......... ... ................ BRENNEN ........... ... .................. . ...................... .. ............ ......... . . .. ......... .... .............. A. Primary Space Heat Type B. Secondary Space Heat Type C. Water Heat Type (check one) A (check all that apply) (check one) El Electric Baseboard None Electric E:1 Electric Wall Heater Wood 0 Gas ❑ Electric Furnace ❑ Electric Baseboard D Other(specify below) ;Electric Heat Pump ❑ Other(specify below) Other ................................ "I"11" . ..................... ... .............. . ................... ... . ................. .................... ------ . ........ ...... ...............' ............... ................... .............. .. .... .................... ........... ................ ................. . ............ .................. (for Heat Pump Only) W� C Compliance Method This building meets the Date of Permit Application 4/ Prescriptive Path El electric Date Building Permit issued 4 ❑ Component Performance El other fuels Date of Insulation Inspection .1 -3 El System Analysis requirements of the WSEC. Date of Final Inspection I hereby certify that this building or addition has been inspected for the measures required by the 1991 Washington State Energy Code (WSEC), that it is in substantial compliance with the WSEC, and that the WSEC checklist for this building is on file. r. 4-11 Signature of Building Official or Authorized Representative Date Return canary copy to the servicing electric utility to trigger WSEC compliance payment Return white copy to: Kathleen Skaar, Washington State Energy Office, P.O. Box 43165, Olympia, WA 98504-3165 WSEO-White Copy Utility/Owner-Canary Copy Jurisdiction-Pink Copy MASON COUNTY BUILDING PERMIT APPLICATION PLEASE PRINT e/ D 9 �- -- 0 4,-3--3 #1 OwnerLkdYLA I ( Phone#(U6) Z 75 Site Address N 14o p T&Vju'Ya 7�iy�v ► oacf City I ct� St W fl `Zip 9 ° Directions to Job Site ey*, 3,�_I -FrLi r- -rah u A- P-)d 40 761h L) & give-r gock e, Dr) 0a?dSitC' S#Ac a�, (�caCi +YL&+ Owner Mailing Address m @ ) City St Zip Lien/Title Bolder (ScLrne' Address City St Zip #2 Contractor Name Contractor Reg# Address Expiration date 1 / City St Zip Phone #3 If septic is located on project site, include records. Connect to Septic? Y_ Public Water Supply Well (If residential, proof of potable water may be required) #4 Parcel No. 3 Z i - 5c` - ©d O O Legal Description 5eCtio IZ '�aw,A4%-P Z?-N R 3rti wM Mash C.> WA Aeal Frv,)ef. LOTS lo ' 1) TANuYA R1VER TRAcT-S #5 Building Square Footage: (existing/proposed) 1st Fl /20ZI 2nd Fl /f 3Z0 3rd Fl Loft / Basement / Deck / #bedrooms 3 #bathrooms 0z Garage / Carport / 25& (Circle: Attache )or Detached?) Other sq ft / 5ihe lZ {ZL'✓v,I' (y #6 Use of building Describe work #7 Type of Job: NewX Add Alt Repair Demolition Woodstove Re-Roof Bulkhead Other 1"48 MOBILE HOME.-INFORMATION l�C Model Y r Make Model �l Le Width Serial No. #B rooms #Bathrooms Type of Heat 49 Any water on or adjacent to property: sail--water lake river_ pond wetland seasonal rurcLi ocher Show following on the site plan Lot DiMensians Flood Zones Existing Structures /,A Fences --- v Structure Setbacks Driveways v Water Lines Shorelines N Drainage Plan Topography V, Septic Systems is Proposed avementsrtlA Easements WA Name of' r ing Street Scale: V Name a Street Date: APPLICANT TO DRAW SITE PLAN BELOW — 4--- L h � r oe —T • I V 7 � '�. v \ r a 6ur►QnNca Is 1'►,✓�u EX1snN5�lAcces oN 5AblAcEENT PARcG--1.S OWNBD By APPOCOr aq A.PPL•aICANT TO DRAW TOPOGRAPHY PROFILE BELOW a � t yv TAMuy�1 RwtR Ro^o p.�vER Plumbing Fixturesl$2 each) Fee Foe No. -3 Toilets 9 Vent Systems X 3 . 00 _ Bath Basins $ iD' Vent Fans 0. 2- Bath Tubs � � �o No. Boilers C `� 1 omp essors Showers (0 0-3 HP 6. 00 l Hot Water Htr 3 3-15 HP _ Laundry Washer 3 15-30 HP -3 Sinks 6 9 ��- 30-50_HP 6. 00 i Floor Drains Z 3 50 + -HP 6. 00 ,Laundry Basins J No. Air Handling Unit Dishwasher Z) 10000 cfm. 7.50_ Disposal > 10000 cfm. 7.50 Urinals Other Other 7j Evap Coolers I Hoods -\A Permit Basic Fee 3 . 00 Fire Suppression _ TOTAL PLMMnrG $ y3�Lyo e91 UID Domes. Incin. Comml. Incin. (� Reloc/Repair 6. 00 Mechanical Fixtures Gas Outlets X 2 .00 No. Fuel Types Woodstove separate Furn < 100K BTU 6. 00 Other Furn >- 100K BTU 6. 00 Furs - Floor to 6.00 Permit Basic Fee 15. 10 . 00 Heat Pumps 6. 00 (0 TOTAL MECHANICAL $ 3;L•5c-) NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AN A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAW RCW 18.27 AND AN AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK OONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SMALL BE MACE CONFORMANCE THEREWITH. NO CHANGES SMALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. OEPARTMEHr. � 5 X OWNER X BY DATE , % 3 DATE Retu= permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562 -5628 FOR OF?ICIAL USE ONLY: Accepted by:�_ Date: II � bhp l 7'�ZOJ. II 11 ��9�h �uo,opnTpn 5;.:tpT-nB II � 1 II 0sh I aa3 a:P-)s bu?pTTnHli II I I II II II I aa3 aAozspooMll II II I 1I I II II aa3 T'eoTuPt;oayWll 11 II I I II tl II �` I aa3 buic�ut►TdII II 1I 11 h��I xoau� �Ta 11 II 1 I I II it II I aa3 uoTaEbTasa.&III IIOTzPTOTAII 11 II 1 I II II II I 9a3 uoTaPTOinll 11 I1 I I II ZT=9d B=PTTngll 11 II H ridI II 11 II I IIOTz:a III aZTSII 11 : s'aOTZTPuOJ TPToadS II =ate O :T�s=E'f4 a=T3 -7::�:dnosE) u�an000 :MeTAag seta BuTPT'FnH IW s :bIITF=ur'I a I enojd* PION PLIO'J Pewoiddy + 201,UO moil