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HomeMy WebLinkAboutBLD94-00366 Cancelled Cabin - BLD Permit / Conditions - 1/19/1999 MASON COUNTY M x Mason County Bldg. III 426 W. Cedar I iv P.O. Box 186 Shelton, Washington 98584 F fit.t)9+4_•0�;ti4i i'6tif: t I ;4+}I , �4tIa3tA '1 i't ; r 101' Wlfi121 NF 6981 r AMIYA—fit Ac:KSK1 rIs R0 HEI.IFAIR PERMIT fflINl 1 Al.H Rt GARf HEIIDIAM 463 .1,1E'4;� NULL & VOID BY EXPIRATION A t TN I#-$ of soty tilt# to I of St 11 M f 4i OS30'11-1* N15 444 DATE —19 BY 1'.4, ,;-# #a1 lst'. ' ;itiIIf 1 sf#i: A'111001111 Ay DA,[[ PFff[Ff �CfP' A00I01 BY 11Att kf1l k I I I t13 i�tlC' #,I'ti+t'•. I;i it�i III I i#d 1 0 , IV) I i 1WIN # ri 44 Pi 0 1 4 `i5AT1 1Ff it m'q Wt:J94 Mfi t)1.11 I I I1#41 1 ' ii i tel:l i01 #"ai.S h 1FE 9 Kv t:., wit 11: :v4 �� 40 uA f' 4411;� +4 i�RtiS f 1141 410 ' >I VAIIIIIII(YiN> 014,4,1 K �_(. 11�:�{ I: •, . _ — I �) I l i { '� ! 1 1iI 1 I 't 1'I '; St�i I i _ z ,�� �?1�1, Prf[lf3l I F� !-I#"sI�4C ' 1 1,1: city( 1 tS 0 1 1 i„} 1 it :Fri, 1 I)'- t' 14(51 I1 111i I', 1 1 f r�liti)t I :Ift'llJi 1 ', ±:1 1 fit,'H 1 G, l fs 1 is 4l) 1 i) (I1; 43 fhftl I — 1 0 1 1 1IA 111' lit ;j I I I"= I I I11 I'3 1 t�ii•)I'- (' 1 i# } .JA 111< 1 Tigl` f 6# r s l E!$ fir `: 1,.IA 14t Ix`�: i F 'i1.t1 1 's ststl. �� s 11l' � yI`i,Ii I It I : 1 .'I l 1 ssrtl` (stem t I"I 1'1' i=1 �!� I r11r1 1 C" _ � I I� Ii1; I II � 0 if e IIAI 1 14( I t?1If'1 I 4i VI t4 I i,falq`• Iititili<, t-i f Is I 11 4h I M1 Id i� sl� t 1 ttI.l11111Py I I,,ftV tqf' I VI AI 1al' s t '. f4F; f i)f'tilit-W!111 tq+' 1t4 4) f"i 6't i�:4� I't I s'i 0000 I n 1 0 ,;l I I�,: /1?(' I'l't l f� Gi I ;f:+1 Ill: I i�lf1l 1 I ¢f i31&9ti"! r I sts H )) i 111 i IIN I I i? t•I I ';i I'I M 1 I r' 1 111,,! f-'sA flit I I I I ('Rf)J fl Gr'iIAtRT11+N�FARIN FPq. 1I IO(AI,(AN-010 IiEIFAIR ROY Te 0f`WtRffl - DEWATIO NMI I'ANEN SOUTH ON TAHUYA 4LAMNITH ROAD IDkIVEWAY ON PARtft I4-8 (NORTH SIDE Of ROAD) ;tAlf [0# `SONl S PfRNIf tEL•.tNt:y NUII AND VOID If Boot OR I,ONSIRt1CI1ON ANINORI1,E0 IS NOI fANNENI.fD 141ININ IRA DAYS. silk 4f 10NSIPDf:IION OR wool IS SUSFEN0f6 FOR A Pf91Ok Ifli BAYS A.1 ANY IIN1, AFTER WAkK IS CONNEA�IO EylotO£f Of £0011NHAT100 of volt IS A PROW S§ INSPI�£IION 411410 IHt IR! DAY FfA100 fINAt INSPE£I109 RUST of RAVER PITF"E RIJI1.DIN& £ N'xi 4641111. CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date 2 — by e Gas Piping date b Foundation Walls date by Set Up date D7/ -S- — — y 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 OTHER Groundwork Attic date by date b I D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by. 7, N / 4"A I I I -- ---------------- MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 t'' " _;v Page�No. 1 / 4y CASE HISTORY FOR CASE NO.: BLD94-0366 A-BLACKSMITH RD BELFAIR 06/01/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ----- ------------------------ ---- --- -------- --- BLDA010 Application received / / / / 03/24/94 03/24/94 KW BLDA100 Approved For Issuance / / / / 04/29/94 DONE KS 04/29/94 KS BLDA500 (F) Issue building permit / / / / 05/12/94 DONE KS O5/12/94 KS BLDA510 (F) Reprint building permit / / / / 05/12/94 DONE KS 05/12/94 KS BLDA560 Permit cancelled / / / / 01/19/99 DONE KW O1/19/99 KW BLDA920 Miscellaneous action / / / / 05/12/94 WE HAVE LOST THIS FILE. ISSUED THE KS O5/12/94 KS PERMIT ANYWAY. WILL PUT OUT AN ALL POINTS. CUSTOMER DOES NOT HAVE PLANS TO HAVE AT SIGHT. BLDA940 RLC Checklist Completed / / / / 03/30/94 DONE AHB 04/04/94 MMS BLDB110 Structural Plan Review 04/04/94 / / 04/12/94 DONE DB 04/12/94 WLC BLDB120 WSEC Compliance Review 04/12/94 / / 04/18/94 elec. wall heaters without backup heat. DONE TDH 04/18/94 TDH BLDB130 Planning Review 03/24/94 / / 04/04/94 DONE MMS 04/04/94 MMS BLDB135 Addressing / / / / 04/05/94 DONE GMM 04/05/94 GMM BLDB200 Environmental Health Review 04/18/94 / / 04/18/94 APPROVED PER SEPTIC RECORDS DONE CAJ 04/18/94 CAJ BLDB210 Water Adequacy 04/18/94 / / 04/18/94 NEED WATER ADEQUACY...SENT LETTER & FORM HOLD CAJ 04/18/94 CAJ BLDB210 Water Adequacy 04/28/94 / / 04/29/94 DONE MMT 04/29/94 MMT BLDC100 Inspection 01/31/95 01/31/95 01/31/95 DONE LW 02/02/95 LAW PROGRESS INSP N OK'ED. BLDC100 Inspection 06/12/95 06/13/95 06/13/ OGRESS INSPECTION OK'ED. DONE LW 06/15/95 LAW BLDC111 Footing/Foundation Wall Inspct 05/23/94 05/24/94 24/94 PASS LW 02/02/95 LAW BLDC156 Energy Code Payment 03/18/96 / 03/18/96 mailed wsec end letter 3-18-96 03/18/96 DLC BLDC249 Permit Renewal O5/28/99 0 17/99 05/28/99 CUSTOMER PAID $120 FEE TO REINSTATE REIN PB 05/28/99 PIB PERMIT. BLDC250 Permit Extension 0 2/ 6 / / 01/02/96 EXTENDED UNTIL 6 96 0 DC 2 '?- z Z Sv, Ile s s � L y Building Permit MASON COUNTY BUILDING 111426 W. CEDAR 1 • SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 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 Q� ,,tf/��+'!O!//� ,E�CD,��'S'r✓�= FyA•� ff�l��✓�J Lyfi✓`yoc�s' �-Y.�r� ,J o 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 ❑ This is not a complete inspection Department Date Inspector ■ sO lwwo vT Mo vV T I T " ,� o6/15/99 08:04 FAX 253 820 5725 ALr1NE hNU11NLr:x1NU + lA(,;UnA lxuZ�Z:, �juul June 14,1999 Mike Hart Jr_ Tacoma Truss 20617 Mountain Highway Spanaway,WA 98387 Dear Mr.Hatt I am writing in regard to quesfions about the'requirements for overfrarnfng of tnis&es designed by Alpine (formerly Lumbermate). Overfiaming of Alpine engineered trusses is permlued as long as the following conditions am met 1) The top chords of the tnuses should be braced by continuDUS lateral bracing spaced a mwdmum of 24•ox.in 6eu of rigid sheathing. - 2) The oveftaming should transfer its load to the top chord of the truss using 20 verticals 48' o.c.along the top chord_ If you have any further questions,please contact me at your earliest convenience. Respectfully, Dan Tyrrell,P.E NW Engineering Mgr. Alpine Engineered Products1 w o w M.M. ,. a 0Ca ALPINE ENGINEERED PRODUCTS, INC. 3700 Pacific Highway East• Suite 101 •Tacoma,WA 98424 USA. •253-926-8778 . 800-347-0038 • Fax 253-926-8722 I MASON COUNTY BUILDING DEPARTMENT 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE OWNER ALBS J -1&P,P GAUEfJrA4 TELEPHONE �Z.[j� Jk - 54 7- OWNERS MAILING ADDRESS l 91 Zb iAjflQj -&:I S U ) . UA�00�1 ) (AJ* al�O7b COMPLIANCE INFORMATION TYPE OF PROJECT: (NEW RESIDENCE O ADDITION O REMODEL O OTHER AREA(SQ.FT.) 1ST FLOOR 8 3 2- 2ND FLOOR Gam_ HEATED BASEMENT N Note: Heated basements must be insulated and finished to meet minimum energy code requirements. TOTAL SQUARE FOOTAGE OF CONDITIONED (DATED) AREA 'iE�-32- COMPLIANCE METHOD: (PRESCRIPTIVE PATH -- circle option -- I II 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 TI HEATING SYSTEM: ELECTRIC RESISTANCE ( ) Electric Central Furnace �Iectric 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: (a'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: L7 �{ ► 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. N-W- A I'�c�o�. VVNIL, 2 6 O N.W ,p, ��c►t► vYr1i 2. S ° 4'0 4v 26 5 N W •A I' '" N� `4 13 .33 N 'U�� ��L - 5K 6a}a �owF• I 2?- 20 TOTAL WINDOW AREA DOORS BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT. TOTAL DOOR AREA 3 • ' ) 1 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE PRESCRIPTIVE PATHS OTHER FUELS (GAS, OIL, HEAT PUMP) HVACe Glazing wall wall int' wall ext' Slab' Equip. %Floor Glazing Doors Vaulted Above Below Below on Opp Eft- Area U-Value U-Value Ceiling= Ceiling' Grade Grade Grade Floor Grade I. hied. 10% 0.70 0.40 R-30 R-30 R-15 R-15 R-10 R-19 R-10 II. hied. 12% 0.65 0.40 R-30 R-30 R-15 R-15 R-10 R-19 R-10 111. High 21% 0.75 0.40 R-30 R-30 R49 R-19 R-10 R-19 R-10 tt{, (Mali. 2y'�► ...1�5 04t} R 30 R 3tt ft-19 #I _.... iiR' tg R-tII Reference case _ V. Low ow % 0.60 0.40 R-30 R-30 R-19 %.R-19,. R-10 .. R-19 R-10 VI.' hied. 25% 0.50 0.40 R-38 R-30 R-19 R-19 R-10 R-25 R-10 VI1.7 hied. 30% 0.45 0.40 R-30 R-30 R49 R-19 R-10 R-25 R-10 1 Minwraxn requ wrw*s la each option tided. For exaffA-4,d a proposed d"n has 5 Fbors ww trawl spaces or exposed to-z-t air oondiiona, a piaxxv ratio to the oondlFtwo d Ybor area of I M lt shall oornply with all of the r.quwerrwxa of the 21%gVn^9 option(ow highter). Proposed desigm which cannot 6 Raquird slab perimNar nsulalon shall be a wafer resatant material,manufactured rrw.m the specdic rquwvrrwxs of a listed option above,may calatWe oorrp Vance for is intended use,and installed according to manufacturers specdre iLons. Sea by Chapter 4 or 5 of the oode. section 602 2 RequinnwAs applies to all ceilings•x<epf single rafter or joist vaulted ceilings. 7 These op(cm sh"be applicable to buildings less than three stonea. 'Add dw,otes Advanced Frrrsd Ceiwp, 8 Thle wall mute o rquwemwtl denotes R-19 wall uvrty insulation plus R-5 foam 3 Requw mro(applirAble only to single rahw or pat v"Mad car tangs. sheath 'n9. 4 Below grade wain shelf be insulated tither on the exterior to a minimum level of R- 9 Minimum HVAC Equpnwi rt effkiwuy r.quirement. 'Low!denotes deotes an AFUE of 0.74. 10.or on the interior to the same level r walls above grade. Extwior insulation 'Mod dwwtse an AFUE of 0.78. 'Nigh'denotes m AFUE of 0.88. rataibd on below grade wale shall be a water nartant material,manufactured for Is w*w"od use,and wwta{ed according to the rnwxAacturers specdw;sd orts. Sea section 8422 ELECTRIC RESISTANCE HEAT Gia1g wall wall int' wall ext' Slab' %Floor Glazing Doors Vaulted Above Below Below on Option Area U-Value U-Value Ceiling= Ceilir193 Grade Grade Grade Floor Grade I. 10% 0.46 0.40 R-38 R-30 R-21 R-21 R-10 R-30 R-10 II. 12% 0.43 020 R-38 R-30 R-19 R-19 R-10 R-30 R-10 III. 12% 0.40 0.40 R-38 R-30 R-21 R-21 R-10 R-30 8-10 .M„ ►:«.,v �4 ,.w- : z::, 1 : r:<: :z :« 19.....:#�it>r >i-3it „#{ t11 : Reference case V. 18% 0.39 0.20 R-38 14-30 R-21 R-21 R-10 R-30 R-10 VI. 21% 0.36 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 V11.' 25% 0.35 0.20 R-38 R-30 R-19+R-5' R-21 R-10 R-30 R-10 Vlll.' 30% 0.32 0.20 R-38 R-30 R-19+R-5' R-21 R-10 R-30 R-10 1 M r wrxn requfv us vu for each option tided. For examp{s,it a proposed design has 5 Floor over crawl spaose or exposed to wro w-A aw mndo ions. a 91anN ratio to the oondit or»d tlbor area d 19%,1 shall oomoy with all of the rsquwvn of the 21%gkzxp option(or hi9hter). Proposed dowgna whch cannot 6 Requird slab perimeter mulstrm shall be a water rmentam malaria(manufactured n»e1 the spearfc requw-ft of a laced op(an above,may cabuWe oonp►arwe tot is wtterded use,and installed according to manufacturers spacjcc Ut om. See by Chapter 4 w 6 of the oode. sedi 6024. 2 Raquwwrwrb appiw to aU oe4ings except single ratter or joist vaulted colings. 7 These optics shall be applicable to buildings 4ess than three stones. 'Add devotee Advanced Frvn.d Ceimg. 8 Thr welt mulation regwemam denotes R-19 wall eavrty insulation plus R-5 foam 3 Regwnrr rvt spplcabie only to swpfe ratter or pat vaulted c«ings. sh.athwy. 4 Below grade wale shall be rmuleled e0w on the exterw to a minimum level of R- 10.or on tt»wrte to the same level as walls above grade. Ectaror insulation itatalled ort below grade coals shall be a water rswam material,manufactured for ss infwded use,and imtaled according to the rr tufacturees spec/iutx>m, S« section 6022 J /RM Bt�-a• Drawn by Checked Due Plat VoL r'G. Order No. SKETCH OF PROPERTY SET UT IN ATTACHED ORDER To assist in locating the premises. It is not based on a survey, and the company assumes no liability for variations, if any, in dimensions and location. -••••••r'wise" ��uu�y Pas no responslbmty to build,improve,maintain, or otherwise service the private roads contained within or providi srevice to the property described in the short plat-. 482224 Short Subdivision: / 7 9U 8pp ved: -L - GE E SERV ES DIRECTOR h cz— C� 0: V v� R 41 tiriL;rim ESn�T 0 � 4p Di? 2 2-'.3 7' • /(3 p �.4 / r_>.�i,�,,Parr,co. `. f ! , ,1•J 'y B 9 Owners Erickson Lake Associatea Attns Jerry Reid Drawer TT, Wycoff Station Bremerton, We 98312 VT Phones 377-OO46 Legal Description Tract. 10 of aurvey recorded December 31, 1987, in volume 13 of Surveys, _Page LO, Mason County Auditor's Pile No. L75975. Being a portion of the east half of the southeast"rter of the southwest quarter of Section Is, Township 23 North, Range 2 West, W.M., Mason County, Washington. Tahuya Black-smith Road Dividino Shnrt Plat nno< w.. r ..+...._ , Note—This map does not purport to show all highways, roads or easements affecting the property. 1 ,s Date Checklist Prepared MASON COUNTY BUILDING DEPARTMENT PLAN REVIEWER AND INSPECTOR CHECKLIST 1"l WSEC AND V&IAQ CODE COMPLIANCE Permit Number O1t-1-63Cp(a Address " a. - � vw��v� Sq. Ft. R3_?_ Name on Permit G i Contractor/Phone # Compliance Method: qq) Prescriptive -TLt (Option) ( ) Component ( ) Systems Analysis �rl�. IZas tb,�Zt.b►te.. Date FOUNDATION Insp. Rev. ( ) ( ) Slab:R- (Ext.foundation down to frostline/slab bottom;or interior 24"top of slab&horizontal. Radiant under entire.) Below grade exterior wall insulation: R- ( 'Crawlspace ventilation: 5.06 (1 sq.ft.EEA/150 sq.ft.floor area-cross vented) FRAMING (vf Standard ( ) Intermediate ( ) Advanced ( ) ( ) WOodStoVeS aIIdlOi fireplaces: (6 sq.inches combustion air supply dud with damper direct to firebox.) ( ) ( ✓Y Standard air seal: (Bottom plate/subfloor,rim joist/mudsill,window/door frames,penetrations condition to non-condition.) Attic ventilation (1 sq.ft.NE&/150 sq.ft.ceiling area) S-5Z/ 1150= 515 ( ) ( Spot exhaust fans: (4"exhaust-bath/laundry 50 cfm @.25 WG;kitchen 100 drn @.25 WG. Vented out with dampers.) ( ) ( 7 Fresh ail'ventilation: Available to all habitable rooms. Installed and operational. (Integrated forced air,windows,wall ports.) Whole house exhaust fan:55-CfM(Intermittent system manual&auto controls/sone less than or=to 1.5 at.1 WG) 75 ar vM INSULATION Attic baffles installed to deflect incoming air(Rigid material resistant to wind-driven moisture,extend 12"above loose fill or 6" above batt insulation) ( ) ( 9,�' Mechanical ventilation ducts R-4(Exhaust in unconditioned space&supply in conditioned space.) ( ) ( L4--- Wall insulation(above grade) R- A (Batts face stapled) ( ) ( ) Wall insulation(below grade-interior) R- (Batts face stapled) ( ) ( ✓)' Vapor retarders on walls (Faced batt,or 4 mil poly or perm.paint.-circle one) ( ) ( ) Rim joist(Insulated with vapor retarder-rigid foam and caulked or 4 mil poly.) ( ) ( ) Vaulted ceiling insulation R- (Vapor retarder&1"airspace) FINAL Floor insulation R- 30 (Substantial contact w/surface,supports less than or=to 24"OC,not blocking vents.) Ventilation system is operational(spot,whole house,fresh air to all habitable rooms. If integrated system,certification by installer is required.) ( ) ( ) HVAC ducts in unconditioned areas R-8 (Joints sealed;mechanically fastened with a minimum of 3 fasteners.) ( ) (✓r Pipe insulation R-3 (Hot and cold lines in unconditioned areas-service or recirc.see Table 5-12). ( ) ( 0-- SHW heaters: (NAECA label,separate power or gas shut-off,on R-10 pad if electric in unconditioned or on concrete.) �1 ( ) ( Heating system type: G kte . A.l �.F�A24:S 1(�ly S 1 D0 wy4-41. Radon monitor on site with instructions.No. supplied by MCBD ( ) ( ) Thermostat: (Heat range 55-75;AC 70-85;both 55-85. Backup heat controls(lockout)prevent simultaneous operation of primary system.) ( ) ( ) Solid fuel appls.: (Gla$s/metal tight-fitting doors;dir.comb.air source,or 4"dia.dampered,indir.source for existing const.) ( ) ( Ground cover: (6 mil black polyathylene or approved equal lapped 12"at joints,extending to foundation wall.) ( ) ( Penetrations(All exterior wall and ceiling penetrations sealed to drywall-plumbing,exposed beams,wall receptacles,fans,recessed lights.) Ceiling Insulation R- sulate&weatherstrip access,baffle to prevent spillover-no cardboard) ( ) ( � Vapor retarder paint if a vapor retarder was not installed when insulation was installed. GLAZING i Plan Reviewer-Fill out this glazing section or attach a window schedule to this checklist. Inspector- Verify window information during field inspections. Include skylights, glass doors and all other glazing on this form. Use rough opening area for calculations. Date Size Quantity Area Sc. Ft. U-Value Manufacturer Rev. Insp. C00 lM lnaw e. cA Lio u A X5 4o Li 034 k35 1 v\ t A w �t� Total glazing area: l ZZ 5 Total conditioned area: Percentage glazing: O Verified: DOORS Plan Reviewer.-List opaque doors by type(solid core, insulated,etc.)quantity, U-value,and manufacturer. Inspector- Verify door information during field inspection. Date Type/Quantity U-Value Manufacturer Rev. Insp. bo.Lkl-) y y Signature of Building Inspector: _ Date of Final Inspection: t RECERED MASON COUNTY Permit No. MAR 24 1994 BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 w ES PL�GENERA-1 R-ER11C E- ip 0 #1 Owner A'B oT a. L(jk py)T - Pw3f ozAd Phone# (2o(G ) qb3 - 5S4Z Site Address Fire District# City St Zip Directions to Job Site D 1A 44, To - ,&a C P SEC - pr p t n t.e-ro l'++E n( S _ Onf -rA k \1A' --g .tee ,sm I-FIA 9 IL(►p a t v BUJ,&W Q ) Owner Mailing Address ( (Z-(/I U 4:544 0t) City St 122010 Lien/Title Holder — 00)A): �G Address City St ip ---- #2 Contractor Name C7U)M F-L Contractor Reg# Address I 12��� � -bA!n, S_ • LJ ____ Expiration Date City NJ , VJ-: St yJ Zip Phone#(2,n #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 Parcel No. 2-2 3 D --7 7- - ` D 10 0 Legal Description T R ( D - 8 5 P � (1 0 y• i3 P• 40U I r_E 'i�� ?� + —i' Z 3 N R z INA A-S o N co. #5 Building Square Footage: lexisting/proposed) 1st FI / `a 9 2g 2nd FI - / - 3rd FI - / - Loft - / - Basement / - Deck #bedrooms / Z #bathrooms / Garage / Carport (Circle: Attached or Detached?) Other sq. ft. / #6 Use of building G' A6 i A3 2 c 2-F,ArT tJ-!'k L- ) Describe work N I✓0 C©A15 #7 Type of Job: New ✓ Add Alt Repair Other #8 MOBILE/MANUFACTURED ME INFORMATION Model Year M e Model Length Widt Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Pric #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland (Eak 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 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 �0 i /tr4 32 9j, NA t"T Ekl- Wb �� µti` e T�t-Fv Y R� Towed aox �► APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW zt ( D �rr1�lF�� CA8I +---- � loo ID LA KF— 'i;QK�C50� Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 each No.!Toilets 3 CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other I Bath Tubs 3 No. Units Fees _Showers _ Furn BTU Hot Water Htr 3 _ Heatpumps !Laundry Washer /3 Vent Systems L Sinks yo �' Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basins HP _Dishwasher No. Air Handling _Disposal cfm# Urinals 3 . 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 $ No. 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 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ 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 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 DE TMENT. DEPARTMENT. X OWNER X BY DATE 24 / DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: &AIJ CC 1��_&4 O/A ►I ici\4 5 �;f: I? Lc Environmental Health: 1 - t Building Plan Review y 7 Occupancy Group: Type of Const:—u— � Fire Marshal: Other: Special Conditions: FEES m Building Permit Plan Check S * Plumbing Fee 3(0.00 Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor (� Violation Fee Site Inspection Building State Fee q S Other Other Lilv,. , 5-0 Building Valuation: TOTAL FEE PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION owner Q t k K . 11�l is IC i e L ?0S r'P r Contractor Name Mailing Address I'SS1,64 0 Ir Mailing Address City Y> ?C t r StateWJJ7 Zip Code City State Zip Code Phone(3 0 ) -t Cher Ph.(3_,a )275-34 Ph.( Other Ph.0 Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 d_i it Tax Parcel/No. aa3ny / r7/ )n Fire District —4L Legal Description ! 1 i:� = 7'' "Pj /�C / Site Address(Please include street name, street number and city) b Directions to site Will timber be cut and sold in parcel preparation? (Yes/No)' Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Qther Use of Building ,--G1ciene 4z:,, Describe Work t,n % n 0 Ccr- n No. of Bedrooms No. of Bathrooms S UARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ? Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. yG� —.� first obtaining approval. / �' �1 X .�' Dat /^�� " ,�"- �4i X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by nn=40 0 Date In U Submittal Amount Due _ Receipt No. DEPARTMENTAL.!REVIEW APP OVED DENIED CONDITION Ot?E5 Building Department 1-0 Occ Group Type Constr. / Planning Department Environmental Health Department 'Z. Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( )